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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
$1,453.42 / $1,453.42 / $1,453.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,508.31 / $1,628.30 / $1,714.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.28 / $1,451.62 / $1,451.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.05 / $1,451.62 / $2,282.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.00 / $1,453.42 / $7,874.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.13 / $671.39 / $1,088.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.71 / $193.06 / $368.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.51 / $231.39 / $453.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.56 / $671.39 / $1,118.99