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Vermont rates for HCPCS E2215

Manual wheelchair accessory, tube for pneumatic caster tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.08 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $7.94 / $8.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $5.13 / $7.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $6.31 / $10.96