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Nebraska rates for HCPCS E1195

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,445.44 / $1,548.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,621.81 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,513.56 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,445.44 / $2,137.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $1,445.44 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $676.08 / $1,096.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,380.38 / $2,884.03
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,513.56 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $478.63 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $676.08 / $1,122.02