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Nebraska rates for HCPCS E1233

Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,563.46 / $2,563.46 / $2,563.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,660.32 / $2,871.94 / $3,023.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.76 / $1,406.76 / $2,560.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,406.76 / $2,504.90 / $4,026.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.57 / $2,563.46 / $13,890.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.64 / $1,184.33 / $2,062.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.53 / $340.53 / $650.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.53 / $425.51 / $804.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.64 / $1,184.33 / $2,022.97