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Nebraska rates for HCPCS E2396

Power wheelchair accessory, caster fork, any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.79 / $53.79 / $53.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.68 / $55.79 / $58.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.67 / $42.67 / $81.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.67 / $77.31 / $94.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.47 / $80.06 / $305.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.73 / $33.92 / $68.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.42 / $8.47 / $15.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.47 / $10.47 / $20.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.73 / $32.65 / $59.30