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Louisiana rates for HCPCS K0195

Elevating legrests, pair (for use with capped rental wheelchair base)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.59 / $114.98 / $118.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.50 / $46.50 / $46.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.60 / $132.16 / $132.16
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.89 / $18.89 / $18.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.70 / $88.70 / $98.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.41 / $75.40 / $196.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $14.38 / $97.32