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Nebraska rates for HCPCS K0814

Power wheelchair, group 1 standard, portable, captain's chair, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $3,235.94 / $3,235.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $3,162.28 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $5,011.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $3,235.94 / $4,168.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,318.26 / $2,454.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $363.08 / $2,344.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,412.54 / $2,454.71