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Vermont rates for HCPCS E2611

General Use Wheelchair Back Cushion Width Less Than 22 Inches Any Height

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.06 / $158.13 / $211.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.96 / $189.96 / $189.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.72 / $126.72 / $169.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.71 / $126.72 / $169.65
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.72 / $126.72 / $169.65
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.72 / $126.72 / $169.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.59 / $205.00 / $327.97