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Nebraska rates for HCPCS E1228

Special Back Height For Wheelchair (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.25 / $324.25 / $324.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.50 / $363.27 / $382.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.50 / $240.50 / $323.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.50 / $316.80 / $482.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.68 / $324.25 / $1,757.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.18 / $149.79 / $242.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.95 / $43.08 / $82.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.08 / $53.82 / $101.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.18 / $149.79 / $249.65