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Vermont rates for HCPCS E1297

Special Wheelchair Seat Depth By Upholstery (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.23 / $69.95 / $69.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $62.10 / $62.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.79 / $62.10 / $63.96
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $62.10 / $62.10
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $63.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.32 / $75.58 / $103.30