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Nebraska rates for HCPCS E2389

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

Facilitymedian $19 · 10th–90th $2–$400%5%10%10th90th$19Professionalmedian $26 · 10th–90th $15–$330%20%10th90th$26$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
$15.85 / $25.70 / $33.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $30.20 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $36.31 / $46.77
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $33.11 / $151.36
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.85 / $26.92
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $36.31 / $67.61
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $13.18 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $15.85 / $26.92