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Louisiana rates for HCPCS E1221

Wheelchair With Fixed Arm Footrests (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.37 / $403.51 / $459.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.97 / $367.36 / $367.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.81 / $407.81 / $407.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.24 / $407.81 / $652.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.57 / $232.78 / $400.88