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Nebraska rates for HCPCS E1016

Shock Absorber For Manual Wheelchair, Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.01 / $116.01 / $116.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.68 / $124.89 / $131.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.16 / $88.16 / $167.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.16 / $158.69 / $196.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.92 / $158.15 / $632.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.74 / $69.37 / $143.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.64 / $16.76 / $31.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.76 / $20.69 / $39.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.34 / $69.37 / $117.08