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Nebraska rates for HCPCS K0857

Power wheelchair, group 3 standard, single 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
$8,654.67 / $8,654.67 / $8,654.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,981.70 / $9,696.17 / $10,206.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,818.66 / $3,818.66 / $3,818.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,818.66 / $3,818.66 / $15,145.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,050.20 / $6,967.67 / $9,649.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,276.54 / $3,476.08 / $5,453.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,190.81 / $1,377.88 / $2,717.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.97 / $1,504.26 / $2,717.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,447.98 / $3,476.08 / $4,678.25