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Nebraska rates for HCPCS E2390

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

Facilitymedian $30 · 10th–90th $3–$620%10%10th90th$30Professionalmedian $41 · 10th–90th $23–$510%20%10th90th$41$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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
$25.12 / $40.74 / $51.29
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $46.77 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $56.23 / $75.86
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $51.29 / $234.42
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $24.55 / $41.69
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $104.71
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $57.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $20.42 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $24.55 / $41.69