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Nebraska rates for HCPCS E2216

Manual Wheelchair Accessory Foam Filled Propulsio N Tire Any Size Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.58 / $49.58 / $49.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.86 / $53.84 / $56.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.06 / $36.06 / $69.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.06 / $66.87 / $84.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.13 / $66.08 / $258.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.80 / $29.64 / $49.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.77 / $7.33 / $14.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.95 / $8.82 / $77.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $27.77 / $46.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.66 / $29.64 / $46.27