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Nebraska rates for HCPCS E2390

Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.52 / $41.52 / $41.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.85 / $46.25 / $48.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.79 / $32.79 / $55.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.79 / $55.92 / $72.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.03 / $51.54 / $235.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.19 / $24.82 / $46.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.55 / $5.59 / $10.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.59 / $6.90 / $13.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.13 / $24.82 / $39.29