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Nebraska rates for HCPCS E2395

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

Facilitymedian $35 · 10th–90th $4–$790%10%10th90th$35Professionalmedian $46 · 10th–90th $26–$520%20%40%10th90th$46$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
$25.70 / $45.71 / $50.12
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $48.98 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $67.61 / $81.28
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $66.07 / $245.47
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $27.54 / $50.12
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $125.89
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $24.55 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $27.54 / $48.98