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Louisiana rates for HCPCS E2220

Manual Wheelchair Accessory Solid (Rubber/Plastic) Propulsion Tire Any Size Replacement Only Each (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.57 / $25.09 / $29.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.82 / $33.50 / $33.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.73 / $22.73 / $35.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $22.73 / $40.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.91 / $18.54 / $25.48