go back

Nebraska rates for HCPCS E2343

Power wheelchair accessory, nonstandard seat frame depth, 22-25 in

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.32 / $829.32 / $829.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.65 / $929.12 / $978.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.17 / $615.17 / $1,101.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.17 / $1,101.64 / $1,451.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.17 / $1,001.49 / $4,704.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.88 / $499.64 / $783.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.83 / $110.15 / $210.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.15 / $137.63 / $260.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.09 / $499.64 / $672.43