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Louisiana rates for HCPCS E1234

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,416.00 / $1,927.26 / $2,196.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,614.21 / $1,754.58 / $1,754.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.78 / $1,208.78 / $2,629.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.49 / $1,208.78 / $3,123.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.15 / $1,243.16 / $1,661.64