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Nebraska rates for HCPCS K0195

Elevating legrests, pair (for use with capped rental wheelchair base)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.59 / $135.29 / $135.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.93 / $124.06 / $130.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.70 / $88.70 / $116.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.50 / $157.50 / $196.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.54 / $107.30 / $196.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.12 / $68.56 / $144.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.68 / $21.81 / $41.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.81 / $26.98 / $51.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.12 / $77.44 / $144.30