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Nebraska rates for HCPCS E2226

Manual wheelchair accessory, caster fork, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.67 / $39.67 / $39.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.85 / $43.03 / $45.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.64 / $40.22 / $57.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.00 / $57.24 / $87.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.10 / $53.00 / $219.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.59 / $23.72 / $41.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.68 / $5.72 / $10.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.72 / $7.05 / $13.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $23.72 / $36.02