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Nebraska rates for HCPCS E2377

Power Wheelchair Accessory Expandable Controller Including All Related Electronics And Mounting Hardware Upgrade Provided At Initial Issue

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.71 / $465.71 / $465.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.72 / $516.79 / $544.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.36 / $382.62 / $565.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.36 / $433.73 / $810.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.00 / $560.40 / $3,065.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.88 / $278.39 / $464.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.49 / $62.99 / $118.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.99 / $77.68 / $148.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.12 / $278.39 / $442.42