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Nebraska rates for HCPCS K0842

Power wheelchair, group 2 standard, multiple power option, captain's chair, patient weight capacity up to and including 300 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,643.18 / $4,643.18 / $4,643.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,206.47 / $4,541.10 / $4,780.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,621.85 / $3,621.85 / $3,621.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,621.85 / $3,621.85 / $7,134.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,936.64 / $3,682.53 / $5,237.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.20 / $1,991.28 / $3,920.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.20 / $699.85 / $1,323.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.85 / $865.47 / $1,654.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,529.31 / $1,852.20 / $3,318.80