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Nebraska rates for HCPCS E2217

Manual wheelchair accessory, foam filled caster tire, any size, each

Facilitymedian $31 · 10th–90th $3–$630%5%10%10th90th$31Professionalmedian $43 · 10th–90th $23–$500%20%10th90th$43$2.0$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $42.66 / $48.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $47.86 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $60.26 / $75.86
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $58.88 / $229.09
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $26.30 / $43.65
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $60.26 / $114.82
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $63.10 / $63.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $21.38 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $26.30 / $43.65