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Nebraska rates for HCPCS E1015

Shock absorber for manual wheelchair, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.63 / $124.63 / $124.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.04 / $137.13 / $144.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.52 / $122.74 / $173.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.52 / $172.50 / $215.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.29 / $160.28 / $671.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.13 / $74.51 / $125.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.25 / $17.39 / $32.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $21.43 / $41.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.44 / $74.51 / $125.44