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Louisiana rates for HCPCS E2202

Manual wheelchair accessory, nonstandard seat frame width, 24-27 in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.01 / $401.12 / $457.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.54 / $467.54 / $467.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.18 / $511.06 / $511.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.55 / $353.55 / $551.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.52 / $353.55 / $645.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.57 / $297.79 / $404.14