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Nebraska rates for HCPCS E2387

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.75 / $51.75 / $51.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.86 / $52.86 / $52.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.77 / $53.72 / $56.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.01 / $39.01 / $77.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.01 / $73.47 / $90.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.86 / $76.89 / $280.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.79 / $34.42 / $65.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.69 / $7.74 / $14.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $9.56 / $18.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.08 / $34.50 / $65.52