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Vermont rates for HCPCS E2204

Manual Wheelchair Accessory Nonstandard Seat Frame Depth 22 To 25 Inches

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.45 / $477.80 / $639.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.42 / $581.42 / $763.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.22 / $581.42 / $763.12
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.42 / $581.42 / $763.12
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.42 / $581.42 / $763.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.67 / $665.35 / $862.32