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Nebraska rates for HCPCS E1028

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $150.08 / $150.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.78 / $100.78 / $100.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.02 / $147.91 / $155.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.00 / $112.20 / $147.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.34 / $147.81 / $234.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.86 / $152.94 / $801.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.35 / $105.19 / $184.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.21 / $23.36 / $44.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.36 / $28.86 / $55.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.58 / $94.29 / $184.15