go back

Nebraska rates for HCPCS E2394

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $61.66 / $70.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $63.10 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $87.10 / $107.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $93.33 / $331.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $37.15 / $70.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $93.33 / $173.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $34.67 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $38.90 / $69.18