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Nebraska rates for HCPCS E2623

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.56 / $399.56 / $399.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.97 / $441.50 / $464.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $333.25 / $542.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.25 / $542.63 / $693.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.56 / $507.91 / $2,250.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.29 / $238.87 / $461.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.85 / $54.27 / $102.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.27 / $70.55 / $428.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.70 / $238.87 / $378.20