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Vermont rates for HCPCS E2612

General Use Wheelchair Back Cushion Width 22 Inches Or Greater Any Height

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.46 / $213.93 / $286.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.78 / $243.78 / $326.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.21 / $243.78 / $326.36
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.78 / $243.78 / $326.36
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.78 / $243.78 / $326.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.47 / $314.87 / $443.67