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Vermont rates for HCPCS E2631

Wheelchair Accessory Addition To Mobile Arm Support Elevating Proximal Arm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.97 / $198.17 / $198.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.43 / $244.43 / $244.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.43 / $178.43 / $207.77
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.43 / $244.43 / $244.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.64 / $198.69 / $285.76