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Louisiana rates for HCPCS E2215

Manual wheelchair accessory, tube for pneumatic caster tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.65 / $8.71 / $9.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.51 / $11.42 / $11.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $11.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $8.00 / $14.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $6.29 / $8.76