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Nebraska rates for HCPCS E1004

Wheelchair accessory, power seating system, recline only, with mechanical shear reduction

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,784.39 / $4,784.39 / $4,784.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,960.02 / $5,354.57 / $5,636.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,282.89 / $3,282.89 / $5,616.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,282.89 / $5,378.24 / $8,414.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,408.34 / $5,805.40 / $30,467.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,953.58 / $2,859.96 / $4,766.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.82 / $641.78 / $1,210.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.78 / $791.25 / $1,516.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,199.71 / $2,859.96 / $4,506.60