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Nebraska rates for HCPCS E2386

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.17 / $113.55 / $113.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.48 / $114.95 / $121.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.17 / $81.17 / $171.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.17 / $162.51 / $199.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.67 / $178.21 / $582.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.21 / $73.88 / $143.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.04 / $17.14 / $32.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.14 / $21.20 / $40.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.39 / $68.06 / $134.19