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Louisiana rates for HCPCS E2623

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.33 / $342.37 / $390.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.04 / $296.77 / $296.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $470.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.26 / $333.25 / $555.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.23 / $248.96 / $378.20