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Nebraska rates for HCPCS E2203

Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.07 / $447.07 / $447.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.54 / $462.63 / $486.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $440.85 / $668.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.25 / $633.85 / $777.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.34 / $669.33 / $2,391.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.40 / $267.39 / $523.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.39 / $66.88 / $126.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.88 / $82.58 / $158.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.82 / $267.39 / $437.38