go back

Nebraska rates for HCPCS E1234

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,744.40 / $2,231.81 / $2,231.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,316.15 / $2,500.40 / $2,632.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.78 / $1,208.78 / $2,229.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.78 / $2,180.60 / $3,505.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.52 / $2,231.81 / $12,092.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.24 / $1,031.01 / $1,795.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.60 / $296.47 / $566.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.47 / $370.46 / $700.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.94 / $1,032.95 / $1,793.34