go back

Vermont rates for HCPCS E2368

Power Wheelchair Component Drive Wheel Motor Replacement Only (Revised 01/01/13)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.54 / $350.27 / $350.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.62 / $327.62 / $327.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.48 / $327.62 / $337.45
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.62 / $327.62 / $327.62
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.62 / $327.62 / $337.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.63 / $381.61 / $542.40