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Louisiana rates for HCPCS E1190

Amputee wheelchair, detachable arms (desk or full-length) swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.85 / $1,014.63 / $1,156.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.87 / $923.77 / $923.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.61 / $1,140.20 / $2,371.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.94 / $585.55 / $987.80