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Nebraska rates for HCPCS E1230

Power operated vehicle (three- or four-wheel nonhighway), specify brand name and model number

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,616.88 / $2,616.88 / $2,616.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,715.79 / $2,931.80 / $3,086.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,786.79 / $1,786.79 / $3,476.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,786.79 / $3,476.21 / $4,579.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$865.13 / $2,777.19 / $14,043.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.39 / $1,576.58 / $2,473.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.89 / $341.89 / $653.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.89 / $427.21 / $808.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.05 / $1,576.58 / $2,121.82