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Louisiana rates for HCPCS E2204

Manual Wheelchair Accessory Nonstandard Seat Frame Depth 22 To 25 Inches

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.66 / $674.65 / $768.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.08 / $852.26 / $852.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.42 / $581.42 / $927.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.22 / $581.42 / $1,038.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.13 / $499.01 / $691.39