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Nebraska rates for HCPCS E1221

Wheelchair With Fixed Arm Footrests (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.38 / $495.38 / $495.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.10 / $554.99 / $584.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.81 / $407.81 / $549.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.81 / $537.03 / $815.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.40 / $495.38 / $2,978.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.63 / $253.91 / $380.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.61 / $73.03 / $125.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.03 / $85.31 / $172.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.42 / $253.91 / $380.38