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Nebraska rates for HCPCS E0995

Wheelchair accessory, calf rest/pad, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.58 / $27.58 / $27.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.78 / $29.98 / $31.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.85 / $28.68 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.85 / $37.88 / $47.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.28 / $36.60 / $155.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.20 / $16.48 / $27.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.78 / $3.81 / $7.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $4.71 / $9.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $16.48 / $27.48