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Louisiana rates for HCPCS E2394

Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.34 / $52.88 / $60.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.45 / $65.70 / $65.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.18 / $46.18 / $72.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.25 / $46.18 / $80.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.36 / $43.73 / $61.49