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Vermont rates for HCPCS E2395

Power Wheelchair Accessory Caster Wheel Excludes Tire Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.49 / $27.62 / $36.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.79 / $41.79 / $41.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $34.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $34.40 / $35.44
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $34.40
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $34.40 / $35.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $22.82 / $30.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $42.24 / $57.28