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Nebraska rates for HCPCS E2222

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

Facilitymedian $15 · 10th–90th $2–$330%5%10%10th90th$15Professionalmedian $22 · 10th–90th $11–$270%20%10th90th$22$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
$12.02 / $21.88 / $26.92
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $24.55 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $31.62 / $38.02
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $29.51 / $123.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $13.49 / $22.39
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $32.36 / $60.26
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $10.00 / $19.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $13.49 / $22.39