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Nebraska rates for HCPCS E2626

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $630.96 / $794.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $707.95 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $891.25 / $1,122.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $812.83 / $3,630.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $380.19 / $616.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $933.25 / $1,659.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $295.12 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $380.19 / $616.60