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Vermont rates for HCPCS K0004

High strength, lightweight wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $794.33 / $1,047.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $660.69 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $660.69 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $346.74 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $436.52 / $831.76