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Louisiana rates for HCPCS E2389

Power Wheelchair Accessory Foam Caster Tire Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.48 / $22.92 / $26.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.31 / $30.77 / $30.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.16 / $21.16 / $31.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $21.16 / $37.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.66 / $17.63 / $24.98