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Nebraska rates for HCPCS E2627

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.06 / $948.06 / $948.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.47 / $1,056.30 / $1,111.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.66 / $542.66 / $1,475.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.66 / $1,327.88 / $1,715.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.87 / $1,177.07 / $5,719.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.20 / $566.74 / $921.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.13 / $147.53 / $247.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.53 / $171.53 / $348.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.89 / $566.74 / $904.89