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Louisiana rates for HCPCS E2396

Power wheelchair accessory, caster fork, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.02 / $47.21 / $53.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.71 / $59.47 / $59.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.67 / $42.67 / $64.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $42.67 / $70.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.23 / $38.45 / $54.90