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Louisiana rates for HCPCS E1012

Wheelchair Accessory Addition To Power Seating System Center Mount Power Elevating Leg Rest/ Platform Complete System Any Type Each Deleted 12/31/2004. Previously: Integrated Seating System Planar For Pediatric Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.23 / $958.30 / $991.73
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,076.50 / $3,076.50 / $3,076.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.41 / $881.97 / $881.97
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,412.19 / $2,412.19 / $2,412.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.00 / $795.00 / $1,317.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.49 / $795.00 / $1,571.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.33 / $617.44 / $1,058.58