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Nebraska rates for HCPCS E1170

Amputee wheelchair, fixed full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.44 / $878.44 / $878.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.67 / $984.20 / $1,036.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.64 / $766.64 / $1,032.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.59 / $1,032.34 / $1,622.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.82 / $878.44 / $5,600.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.72 / $477.32 / $714.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.35 / $122.06 / $222.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.06 / $142.57 / $288.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.72 / $477.32 / $795.53