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Vermont rates for HCPCS E2375

Power wheelchair accessory, nonexpandable controller, including all related electronics and mounting hardware, replacement only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.67 / $580.80 / $580.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.96 / $407.96 / $407.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.77 / $407.96 / $420.20
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.96 / $407.96 / $407.96
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.96 / $407.96 / $420.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.15 / $607.88 / $899.39