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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
$908.63 / $908.63 / $908.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.00 / $1,018.02 / $1,071.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.90 / $687.90 / $926.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.90 / $906.30 / $1,456.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.77 / $908.63 / $5,025.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.42 / $428.50 / $714.17
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.53 / $120.70 / $230.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.83 / $144.66 / $258.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.42 / $428.50 / $714.17