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Louisiana rates for HCPCS E2633

Wheelchair accessory, addition to mobile arm support, supinator

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.00 / $119.87 / $136.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.01 / $155.44 / $155.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.53 / $70.53 / $157.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.49 / $70.53 / $189.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.57 / $87.40 / $130.15