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Louisiana rates for HCPCS K0813

Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,849.71 / $2,425.11 / $2,531.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,874.24 / $3,124.17 / $3,124.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,225.09 / $2,225.09 / $2,225.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.17 / $2,225.09 / $3,768.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.97 / $1,243.16 / $1,879.93