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Nebraska rates for HCPCS E1224

Wheelchair with detachable arms, elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.05 / $798.05 / $798.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.25 / $894.13 / $941.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.20 / $428.20 / $937.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.20 / $917.54 / $1,396.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.97 / $798.05 / $5,087.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.76 / $433.82 / $648.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.70 / $119.82 / $202.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.82 / $139.97 / $283.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.89 / $433.82 / $723.03