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Louisiana rates for HCPCS E2201

Manual Wheelchair Accessory Nonstandard Seat Frame Width Greater Than Or Equal To 20 Inches And Less Than 24 Inches

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.22 / $294.35 / $335.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $300.00 / $300.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.53 / $363.62 / $363.62
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.99 / $32.99 / $32.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.42 / $243.42 / $404.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.91 / $243.42 / $431.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.91 / $213.12 / $317.14