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Nebraska rates for HCPCS E2201

Manual Wheelchair Accessory Nonstandard Seat Frame Width Greater Than Or Equal To 20 Inches And Less Than 24 Inches

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.97 / $336.80 / $336.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.94 / $343.24 / $361.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.42 / $325.88 / $507.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.42 / $431.25 / $590.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.17 / $521.30 / $1,745.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.85 / $201.47 / $408.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.38 / $50.73 / $95.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.73 / $62.67 / $119.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.29 / $201.47 / $335.79