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Louisiana rates for HCPCS E0955

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.68 / $134.16 / $206.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.45 / $106.45 / $167.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.21 / $171.97 / $171.97
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.40 / $426.40 / $426.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.12 / $129.12 / $184.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.75 / $129.12 / $202.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.95 / $111.88 / $148.60