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Nebraska rates for HCPCS E2386

Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each

Facilitymedian $95 · 10th–90th $10$1950%10%10th90th$95Professionalmedian $110 · 10th–90th $63$1290%20%10th90th$110$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $109.65 / $112.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $114.82 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $169.82 / $204.17
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $177.83 / $575.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $69.18 / $138.04
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $323.59
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $67.61 / $114.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $67.61 / $134.90