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Nebraska rates for HCPCS E2631

Wheelchair accessory, addition to mobile arm support, elevating proximal arm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.31 / $255.31 / $255.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.38 / $285.42 / $300.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.43 / $244.43 / $398.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.88 / $377.88 / $532.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.97 / $369.30 / $1,550.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.59 / $152.62 / $245.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.43 / $39.90 / $65.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.90 / $46.37 / $94.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.38 / $152.62 / $241.32