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Vermont rates for HCPCS E2626

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $501.19 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $275.42 / $288.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $323.59 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $407.38 / $707.95