go back

Nebraska rates for HCPCS E2222

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.50 / $22.46 / $22.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.75 / $24.55 / $25.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $17.30 / $32.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.38 / $32.08 / $48.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.39 / $29.44 / $124.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.65 / $13.43 / $23.03
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.16 / $3.19 / $6.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.94 / $7.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.81 / $13.43 / $22.39