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Louisiana rates for HCPCS E2390

Power Wheelchair Accessory Solid (Rubber/Plastic)Drive Wheel Tire Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.14 / $35.57 / $40.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.84 / $47.65 / $47.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.79 / $32.79 / $48.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.87 / $32.79 / $58.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $26.65 / $39.29