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Louisiana rates for HCPCS E1200

Amputee wheelchair, fixed full-length arms, swing-away detachable footrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.61 / $834.97 / $884.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.30 / $760.11 / $760.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.73 / $746.73 / $746.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.92 / $746.73 / $1,196.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.77 / $435.22 / $734.18