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Louisiana rates for HCPCS E1028

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.68 / $137.06 / $578.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.24 / $167.24 / $167.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.62 / $166.98 / $166.98
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.94 / $601.94 / $601.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.00 / $110.00 / $181.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.15 / $93.50 / $234.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.08 / $111.96 / $169.04