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Nebraska rates for HCPCS E2633

Wheelchair accessory, addition to mobile arm support, supinator

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.44 / $135.44 / $135.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.47 / $150.56 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.53 / $70.53 / $211.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.53 / $189.38 / $245.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.87 / $198.49 / $802.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.57 / $80.98 / $132.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.57 / $21.12 / $35.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.12 / $24.56 / $49.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.16 / $80.98 / $130.15