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Nebraska rates for HCPCS K0855

Power wheelchair, group 3 extra heavy-duty, captain's chair, patient weight capacity 601 pounds or more

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,619.33 / $13,619.33 / $13,619.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,134.03 / $15,258.33 / $16,061.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,102.62 / $10,102.62 / $10,102.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,102.62 / $10,102.62 / $23,835.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,373.57 / $10,964.61 / $15,184.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,582.44 / $5,470.12 / $8,581.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,873.91 / $2,168.29 / $4,276.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,113.34 / $2,367.17 / $4,276.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,852.25 / $5,470.12 / $7,672.77