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Nebraska rates for HCPCS E2633

Wheelchair accessory, addition to mobile arm support, supinator

Facilitymedian $98 · 10th–90th $10–$2140%5%10%10th90th$98Professionalmedian $135 · 10th–90th $78–$1740%20%10th90th$135$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $134.90 / $173.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $151.36 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $190.55 / $239.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $199.53 / $794.33
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $81.28 / $131.83
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $354.81
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $190.55 / $213.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $67.61 / $125.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $81.28 / $131.83