go back

Nebraska rates for HCPCS K0004

High Strength Lightweight Wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.16 / $704.79 / $704.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.89 / $311.89 / $311.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.01 / $477.19 / $502.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.44 / $654.00 / $654.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.45 / $654.75 / $918.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.85 / $704.79 / $2,522.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.34 / $435.24 / $725.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.03 / $133.72 / $253.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.72 / $166.07 / $316.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.43 / $418.38 / $725.40