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Nebraska rates for HCPCS E1172

Amputee wheelchair, detachable arms (desk or full-length) without footrests or legrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.61 / $963.61 / $963.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.03 / $1,079.57 / $1,136.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.94 / $840.94 / $1,132.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.94 / $1,107.35 / $1,780.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.15 / $963.61 / $6,143.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.19 / $523.57 / $872.62
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.63 / $130.26 / $244.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.26 / $155.97 / $307.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.19 / $523.57 / $872.62