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Louisiana rates for HCPCS E2375

Power wheelchair accessory, nonexpandable controller, including all related electronics and mounting hardware, replacement only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.78 / $614.47 / $700.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.04 / $816.35 / $816.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.96 / $407.96 / $844.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.33 / $407.96 / $933.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.52 / $487.61 / $629.57