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Nebraska rates for HCPCS E2388

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.20 / $48.20 / $48.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.52 / $53.46 / $56.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.90 / $37.90 / $65.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.90 / $65.23 / $83.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.05 / $60.66 / $272.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.23 / $28.82 / $55.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.48 / $6.53 / $12.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.53 / $8.06 / $15.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.16 / $28.82 / $46.01