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Vermont rates for HCPCS E2216

Manual wheelchair accessory, foam filled propulsion tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $33.11 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $36.31 / $37.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $22.39 / $37.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $30.20 / $51.29