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Vermont rates for HCPCS K0004

High Strength Lightweight Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.49 / $750.85 / $1,051.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.00 / $663.00 / $663.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.00 / $654.75 / $654.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.54 / $654.75 / $674.39
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654.00 / $654.75 / $654.75
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.00 / $654.75 / $674.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.31 / $668.27 / $754.60