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Nebraska rates for HCPCS E2611

General use wheelchair back cushion, width less than 22 in, any height, including any type mounting hardware

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.48 / $188.15 / $188.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.57 / $217.57 / $217.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.19 / $165.38 / $174.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.72 / $169.65 / $319.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.72 / $207.75 / $371.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.15 / $376.16 / $908.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.60 / $153.32 / $278.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.70 / $31.90 / $60.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.90 / $39.47 / $75.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.66 / $128.33 / $264.83