go back

Nebraska rates for HCPCS E2391

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.70 / $17.70 / $17.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.50 / $18.89 / $19.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $13.81 / $26.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.81 / $24.84 / $30.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.16 / $24.68 / $99.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $10.59 / $22.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.60 / $2.63 / $4.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $3.23 / $6.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $10.59 / $18.28