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Nebraska rates for HCPCS E2293

Back, contoured, for pediatric size wheelchair including fixed attaching hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.99 / $412.99 / $412.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $296.00 / $296.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.99 / $412.99 / $702.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.52 / $269.52 / $269.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.17 / $206.17 / $236.60