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Louisiana rates for HCPCS E2203

Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.74 / $392.76 / $488.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.04 / $456.04 / $456.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.18 / $493.67 / $493.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $539.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.26 / $333.25 / $581.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.02 / $290.25 / $407.19