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Louisiana rates for HCPCS E2619

Replacement cover for wheelchair seat cushion or back cushion, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $42.41 / $48.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.15 / $56.69 / $56.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.06 / $39.06 / $58.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.20 / $39.06 / $69.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.72 / $30.62 / $46.84