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Nebraska rates for HCPCS E2622

Skin protection wheelchair seat cushion, adjustable, width less than 22 in, any depth

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.62 / $315.44 / $315.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.39 / $349.13 / $367.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.45 / $325.44 / $427.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.20 / $438.75 / $653.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.63 / $399.17 / $1,779.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.18 / $188.58 / $362.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.45 / $42.78 / $80.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.78 / $55.60 / $337.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.03 / $188.58 / $302.63