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Vermont rates for HCPCS K0195

Elevating legrests, pair (for use with capped rental wheelchair base)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $134.90 / $138.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $89.13 / $97.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $8.32 / $77.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $17.78 / $162.18