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Louisiana rates for HCPCS E2221

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.43 / $22.84 / $26.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.37 / $29.75 / $29.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $20.72 / $31.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $20.72 / $36.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $16.64 / $24.19