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Nebraska rates for HCPCS E2604

Skin protection wheelchair seat cushion, width 22 in or greater, any depth

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.93 / $155.93 / $155.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $163.40 / $172.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.51 / $151.61 / $229.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.51 / $217.28 / $266.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.88 / $226.91 / $829.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.69 / $96.09 / $206.03
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.77 / $22.92 / $43.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.92 / $28.31 / $54.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.59 / $93.26 / $172.01