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Nebraska rates for HCPCS E2369

Power wheelchair component, drive wheel gear box, replacement only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.46 / $390.46 / $390.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.50 / $417.24 / $439.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.93 / $332.93 / $343.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.93 / $357.53 / $656.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.20 / $390.46 / $1,865.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.31 / $229.47 / $439.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.13 / $57.56 / $108.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.56 / $71.01 / $136.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.44 / $207.46 / $439.13