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Nebraska rates for HCPCS K0856

Power wheelchair, group 3 standard, single 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
$8,484.50 / $8,484.50 / $8,484.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,805.19 / $9,505.60 / $10,005.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.57 / $4,321.80 / $4,321.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,880.00 / $11,880.00 / $14,850.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,970.61 / $6,878.76 / $9,459.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,231.84 / $3,407.76 / $5,346.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,167.40 / $1,350.80 / $2,663.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.56 / $1,474.69 / $2,663.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,399.87 / $3,407.76 / $5,679.60