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Nebraska rates for HCPCS E1190

Amputee wheelchair, detachable arms (desk or full-length) swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.14 / $1,227.14 / $1,227.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,273.54 / $1,374.83 / $1,447.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.18 / $1,353.08 / $1,353.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.34 / $1,353.08 / $2,371.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.89 / $1,227.14 / $7,340.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.42 / $625.73 / $935.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.53 / $179.93 / $311.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.93 / $210.18 / $425.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.36 / $625.73 / $935.23