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Louisiana rates for HCPCS E0958

Manual wheelchair accessory, one-arm drive attachment, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.83 / $367.56 / $383.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.51 / $490.77 / $490.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.00 / $238.50 / $505.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.73 / $238.50 / $642.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.18 / $198.82 / $296.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.61 / $200.32 / $273.45