go back

Nebraska rates for HCPCS E1223

Wheelchair with detachable arms, footrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.34 / $856.34 / $856.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.71 / $959.39 / $1,009.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.72 / $422.72 / $855.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.81 / $855.50 / $1,345.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.67 / $806.61 / $4,640.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.75 / $395.63 / $591.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.43 / $113.75 / $217.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.63 / $136.34 / $253.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.58 / $395.63 / $591.33