go back

Nebraska rates for HCPCS E1030

Wheelchair accessory, ventilator tray, gimbaled

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.06 / $1,162.06 / $1,162.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.95 / $1,301.88 / $1,370.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.51 / $606.51 / $1,365.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.51 / $1,320.93 / $2,034.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.69 / $1,403.30 / $7,407.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.53 / $697.80 / $1,163.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.91 / $154.36 / $293.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.36 / $191.81 / $364.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.28 / $697.80 / $1,104.84