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Nebraska rates for HCPCS E2395

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.51 / $46.51 / $46.51
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.93 / $45.93 / $45.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $49.35 / $51.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $34.40 / $67.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $63.82 / $78.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.71 / $65.69 / $247.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $27.82 / $58.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.69 / $6.74 / $12.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.74 / $8.33 / $15.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $22.82 / $48.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $27.81 / $48.64