go back

Louisiana rates for HCPCS E2221

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

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