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Nebraska rates for HCPCS K0854

Power wheelchair, group 3 extra heavy-duty, sling/solid seat/back, patient weight capacity 601 pounds or more

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,417.38 / $14,417.38 / $14,417.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,962.29 / $16,152.46 / $17,002.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,694.63 / $10,694.63 / $10,694.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,694.63 / $10,694.63 / $25,228.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,747.02 / $11,607.14 / $16,074.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,792.37 / $5,790.64 / $9,084.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,983.71 / $2,295.35 / $4,526.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,237.17 / $2,505.86 / $4,526.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,077.98 / $5,790.64 / $7,793.23