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Vermont rates for HCPCS E2216

Manual Wheelchair Accessory Foam Filled Propulsio N Tire Any Size Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.04 / $29.04 / $29.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.06 / $36.06 / $36.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.65 / $36.06 / $37.14
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.06 / $36.06 / $36.06
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.06 / $36.06 / $37.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $27.77 / $37.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $37.02 / $50.70