go back

Louisiana rates for HCPCS E1250

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.41 / $542.08 / $617.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.62 / $481.88 / $523.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $200.00 / $686.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.32 / $396.06 / $681.25