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Nebraska rates for HCPCS E0304

Hospital bed, extra heavy-duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,480.39 / $5,480.39 / $5,480.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,947.82 / $5,480.39 / $5,480.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,056.38 / $5,337.29 / $5,618.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.50 / $5,376.36 / $5,399.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.50 / $5,522.69 / $8,385.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.47 / $5,480.39 / $29,293.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,641.75 / $2,947.82 / $5,035.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$858.21 / $864.16 / $1,633.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.16 / $1,068.00 / $2,042.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,740.79 / $3,123.63 / $5,206.05