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Louisiana rates for HCPCS E2220

Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.95 / $25.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $22.91 / $41.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $11.75 / $20.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $18.62 / $25.70