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Louisiana rates for HCPCS E0995

Wheelchair accessory, calf rest/pad, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $23.46 / $26.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.42 / $30.89 / $30.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.85 / $21.85 / $32.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.57 / $21.85 / $37.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.99 / $17.50 / $25.84