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Nebraska rates for HCPCS K0815

Power wheelchair, group 1 standard, sling/solid seat and back, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,710.38 / $3,710.38 / $3,710.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,327.63 / $3,592.32 / $3,781.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,671.66 / $2,671.66 / $2,671.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,671.66 / $2,671.66 / $5,643.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.76 / $3,710.38 / $4,264.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.28 / $1,621.24 / $3,104.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.98 / $566.74 / $1,071.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.74 / $700.91 / $1,339.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.25 / $1,480.20 / $2,702.07