go back

Louisiana rates for HCPCS E0966

Manual Wheelchair Accessory Headrest Extension Each. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.44 / $60.81 / $69.30
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $65.00 / $65.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.28 / $78.56 / $78.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.54 / $82.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $35.54 / $103.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.28 / $45.24 / $62.38