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Nebraska rates for HCPCS E2619

Replacement cover for wheelchair seat cushion or back cushion, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.49 / $49.49 / $49.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.97 / $55.03 / $57.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.06 / $51.26 / $66.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.06 / $66.80 / $86.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.92 / $61.78 / $280.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.61 / $29.59 / $56.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.63 / $6.68 / $12.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.68 / $8.24 / $15.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.76 / $29.59 / $46.84