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Nebraska rates for HCPCS E2384

Power Wheelchair Accessory Pneumatic Caster Tire Any Size Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.81 / $65.81 / $65.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.88 / $68.95 / $72.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.69 / $48.69 / $96.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.69 / $91.65 / $112.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.20 / $95.84 / $349.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.26 / $41.26 / $83.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.58 / $9.66 / $18.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.66 / $11.92 / $22.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.26 / $39.72 / $72.15