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Nebraska rates for HCPCS E1200

Amputee wheelchair, fixed full-length arms, swing-away detachable footrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.51 / $931.51 / $931.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.67 / $1,043.57 / $1,098.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.73 / $746.73 / $1,005.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.73 / $983.73 / $1,495.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.01 / $931.51 / $5,455.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.92 / $465.11 / $775.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.85 / $123.74 / $236.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.31 / $148.30 / $269.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.95 / $465.11 / $810.16