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Nebraska rates for HCPCS K0841

Power wheelchair, group 2 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $4,677.35 / $4,677.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $4,570.88 / $4,786.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $7,079.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $3,715.35 / $5,248.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,862.09 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $512.86 / $3,311.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,862.09 / $3,388.44