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Louisiana rates for HCPCS E1233

Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,680.63 / $2,213.73 / $2,290.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,854.08 / $2,015.30 / $2,015.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.76 / $1,406.76 / $3,020.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.80 / $1,406.76 / $3,588.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.60 / $1,257.71 / $1,908.76