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Nebraska rates for HCPCS E2376

Power Wheelchair Accessory Expandable Controller Including All Related Electronics And Mounting Hardware Replacement Only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.98 / $1,264.98 / $1,264.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.35 / $1,395.17 / $1,468.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.26 / $642.26 / $1,525.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.26 / $1,401.29 / $2,193.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$939.59 / $1,512.60 / $8,276.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.54 / $756.24 / $1,260.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.80 / $172.10 / $324.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.10 / $212.26 / $406.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.52 / $756.24 / $1,225.50