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
$69.18 / $93.33 / $112.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $100.00 / $173.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $61.66 / $97.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $91.20 / $128.82