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Vermont rates for HCPCS E2220

Manual Wheelchair Accessory Solid (Rubber/Plastic) Propulsion Tire Any Size Replacement Only Each (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.23 / $14.24 / $19.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.73 / $22.73 / $29.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $22.73 / $29.83
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.73 / $22.73 / $29.83
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.73 / $22.73 / $29.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.27 / $28.18 / $33.15