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Nebraska rates for HCPCS E2220

Manual Wheelchair Accessory Solid (Rubber/Plastic) Propulsion Tire Any Size Replacement Only Each (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.02 / $29.02 / $29.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.52 / $31.85 / $33.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.73 / $29.83 / $42.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.73 / $40.17 / $50.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.82 / $35.75 / $162.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.57 / $17.35 / $29.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $4.20 / $7.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $5.14 / $9.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.02 / $17.35 / $26.04