go back

Louisiana rates for HCPCS E2383

Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.53 / $109.50 / $124.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.71 / $138.82 / $138.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.30 / $100.30 / $150.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.26 / $100.30 / $172.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.43 / $89.36 / $127.32