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Louisiana rates for HCPCS E2387

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.15 / $46.09 / $52.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.49 / $57.05 / $57.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.01 / $39.01 / $63.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.15 / $39.01 / $67.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.56 / $36.58 / $55.46