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Louisiana rates for HCPCS E2389

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

Facilitymedian $12 · 10th–90th $2–$210%10%10th90th$12Professionalmedian $18 · 10th–90th $12–$230%20%10th90th$18$1.0$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $18.20 / $22.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $32.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $21.38 / $37.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $11.22 / $20.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $17.78 / $25.12