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Nebraska rates for HCPCS K0005

Ultralightweight wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.15 / $2,103.21 / $2,103.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,182.69 / $2,356.32 / $2,480.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,460.50 / $1,916.91 / $2,793.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.50 / $2,793.86 / $3,743.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.49 / $2,539.87 / $12,056.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.57 / $1,267.11 / $2,111.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.57 / $279.39 / $533.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.39 / $349.12 / $660.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.82 / $1,267.11 / $1,718.87