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Nebraska rates for HCPCS E2220

Manual wheelchair accessory, solid (rubber/plastic) propulsion tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $28.84 / $34.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $31.62 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $41.69 / $51.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $37.15 / $162.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $17.38 / $28.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $42.66 / $77.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $43.65 / $43.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $13.80 / $25.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $17.38 / $28.84