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Nebraska rates for HCPCS E1014

Reclining back, addition to pediatric size wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.65 / $422.65 / $422.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.58 / $473.48 / $498.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.77 / $172.77 / $422.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.77 / $412.98 / $663.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.04 / $422.65 / $2,290.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.77 / $195.26 / $340.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.99 / $56.14 / $107.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.14 / $70.15 / $132.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.51 / $195.26 / $339.63