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Nebraska rates for HCPCS E2381

Power Wheelchair Accessory Pneumatic Drive Wheel Tire Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.28 / $62.28 / $62.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.59 / $65.40 / $68.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.02 / $48.02 / $93.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.02 / $88.35 / $108.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.32 / $90.18 / $344.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.64 / $38.85 / $78.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.24 / $9.32 / $17.55
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.32 / $11.50 / $22.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.56 / $38.85 / $67.92