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Louisiana rates for HCPCS E1295

Heavy Duty Wheelchair Fixed Full Length Arms Elevating Legrest (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.99 / $1,031.48 / $1,175.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.94 / $939.07 / $939.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.44 / $1,042.44 / $1,042.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.94 / $886.07 / $2,090.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.41 / $595.12 / $1,024.93