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Louisiana rates for HCPCS E2222

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.75 / $19.19 / $21.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.17 / $25.18 / $25.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $17.30 / $26.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $17.30 / $38.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $13.91 / $20.19