go back

Louisiana rates for HCPCS E1172

Amputee wheelchair, detachable arms (desk or full-length) without footrests or legrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.98 / $978.85 / $1,013.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.92 / $891.22 / $891.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.94 / $840.94 / $840.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.75 / $840.94 / $1,586.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.40 / $489.91 / $826.79