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Nebraska rates for HCPCS E2221

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

Facilitymedian $18 · 10th–90th $2–$390%10%10th90th$18Professionalmedian $26 · 10th–90th $14–$320%20%10th90th$26$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
$15.14 / $25.70 / $32.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $29.51 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $26.92 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $38.02 / $46.77
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $35.48 / $147.91
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $15.85 / $26.92
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $72.44
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $12.30 / $23.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $15.85 / $26.92