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Nebraska rates for HCPCS E0974

Manual wheelchair accessory, antirollback device, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.31 / $78.31 / $78.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.28 / $83.43 / $87.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.10 / $44.10 / $113.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.10 / $105.00 / $131.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.66 / $109.55 / $402.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.49 / $46.83 / $78.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.80 / $11.68 / $22.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.13 / $14.05 / $25.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.79 / $46.83 / $78.05