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Nebraska rates for HCPCS E2221

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.77 / $26.77 / $26.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.10 / $29.25 / $30.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.72 / $27.20 / $38.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.72 / $36.75 / $45.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.57 / $35.09 / $148.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.49 / $16.00 / $27.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.78 / $3.82 / $7.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $4.71 / $9.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.69 / $16.00 / $24.19