go back

Nebraska rates for HCPCS E0966

Manual Wheelchair Accessory Headrest Extension Each. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.30 / $75.41 / $75.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.06 / $82.12 / $86.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $74.12 / $105.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $102.57 / $128.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.07 / $97.94 / $405.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.33 / $45.09 / $75.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.44 / $10.53 / $19.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.53 / $12.98 / $24.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.94 / $45.09 / $65.17