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Nebraska rates for HCPCS E2632

Wheelchair Accessory Addition To Mobile Arm Support Offset Or Lateral Rocker Arm With Elastic Balance Control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.77 / $162.77 / $162.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.69 / $182.12 / $191.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.15 / $83.15 / $239.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.15 / $228.11 / $285.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.63 / $217.89 / $970.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.05 / $97.30 / $156.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $23.94 / $41.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.94 / $27.97 / $56.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.09 / $97.30 / $153.94