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Nebraska rates for HCPCS E2383

Power wheelchair accessory, insert for pneumatic drive wheel tire (removable), any type, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.51 / $128.51 / $128.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.79 / $136.88 / $144.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.30 / $100.30 / $190.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.30 / $180.47 / $221.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.10 / $179.83 / $719.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.08 / $77.45 / $162.65
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.89 / $19.04 / $35.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.04 / $23.47 / $45.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.93 / $76.84 / $135.41