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Nebraska rates for HCPCS E1250

Lightweight Wheelchair Fixed Full Length Arms Swing Away Detachable Footrest (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.84 / $534.84 / $534.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.02 / $566.79 / $596.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $200.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.00 / $686.25 / $1,055.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.01 / $594.36 / $3,516.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.74 / $405.53 / $676.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.83 / $98.52 / $218.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.83 / $102.96 / $151.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.35 / $391.10 / $654.04