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Vermont rates for HCPCS E2628

Wheelchair Accessory Shoulder Elbow Mobile Arm Support Attached To Wheelchair Balanced Reclining

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.11 / $601.49 / $601.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.39 / $369.39 / $369.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.64 / $369.39 / $380.47
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.39 / $369.39 / $369.39
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.39 / $369.39 / $380.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.68 / $641.59 / $844.22