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Nebraska rates for HCPCS E1237

Wheelchair, pediatric size, rigid, adjustable, without seating system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,912.43 / $1,912.43 / $1,912.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,984.75 / $2,142.63 / $2,255.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.39 / $1,071.00 / $1,910.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.00 / $1,561.35 / $3,004.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.95 / $1,912.43 / $10,363.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.54 / $883.58 / $1,539.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.30 / $254.05 / $485.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.05 / $317.47 / $600.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.91 / $883.58 / $1,539.06