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Louisiana rates for HCPCS E2604

Skin protection wheelchair seat cushion, width 22 in or greater, any depth

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.35 / $132.85 / $151.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.47 / $166.83 / $166.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.51 / $115.51 / $182.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.18 / $115.51 / $205.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.06 / $102.26 / $154.47