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Nebraska rates for HCPCS E1050

Fully-Reclining Wheelchair Fixed Full Length Arms Swing Away Detachable Elevating Leg Rests (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.42 / $1,178.42 / $1,178.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.94 / $1,320.21 / $1,389.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $450.00 / $1,176.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.00 / $1,151.50 / $1,762.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.13 / $1,178.42 / $6,384.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.37 / $544.44 / $907.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.09 / $156.54 / $299.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.54 / $187.61 / $370.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.18 / $544.44 / $907.40