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Louisiana rates for HCPCS E2377

Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.48 / $399.04 / $454.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.58 / $420.58 / $420.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.63 / $364.82 / $364.82
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.80 / $1,023.80 / $1,023.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.36 / $279.36 / $548.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.04 / $279.36 / $648.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.78 / $299.01 / $440.80