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Nebraska rates for HCPCS K0831

Power wheelchair, group 2 standard, seat elevator, captain's chair, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,663.50 / $1,663.50 / $1,663.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,719.94 / $4,015.84 / $4,227.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,915.00 / $3,915.00 / $4,893.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.70 / $1,663.50 / $2,911.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.76 / $1,565.64 / $3,313.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,944.97 / $3,944.97 / $4,555.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.76 / $1,565.64 / $3,313.94