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Louisiana rates for HCPCS E2395

Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.83 / $39.10 / $44.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.49 / $49.45 / $49.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $53.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $34.40 / $61.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $27.10 / $36.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.87 / $31.23 / $45.46