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Vermont rates for HCPCS E2388

Power Wheelchair Accessory Foam Drive Wheel Tire Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.51 / $34.15 / $34.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.90 / $37.90 / $37.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.22 / $37.90 / $39.04
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.90 / $37.90 / $37.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.90 / $37.90 / $39.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.21 / $39.90 / $52.91