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Nebraska rates for HCPCS E1171

Amputee wheelchair, fixed full-length arms, without footrests or legrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $912.01 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,023.29 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $912.01 / $1,479.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $912.01 / $5,011.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $426.58 / $707.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $891.25 / $1,819.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $309.03 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $426.58 / $741.31