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Louisiana rates for HCPCS E2386

Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.86 / $100.02 / $113.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.44 / $122.22 / $122.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.17 / $81.17 / $137.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.98 / $81.17 / $144.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.52 / $82.12 / $116.30