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Nebraska rates for HCPCS E2215

Manual Wheelchair Accessory Tube For Pneumatic Ca Ster Tire Any Size Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.42 / $10.42 / $10.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $11.52 / $12.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $8.00 / $14.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $14.51 / $18.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.62 / $13.19 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.94 / $6.23 / $10.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.46 / $2.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.80 / $3.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.71 / $6.23 / $10.33