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Nebraska rates for HCPCS K0858

Power wheelchair, group 3 heavy-duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,526.91 / $10,526.91 / $10,526.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,924.76 / $11,793.77 / $12,414.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,978.93 / $4,978.93 / $4,978.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,978.93 / $4,978.93 / $18,421.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,926.32 / $8,474.94 / $11,736.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,769.04 / $4,228.08 / $6,633.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,448.43 / $1,675.96 / $3,305.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,633.49 / $1,829.68 / $3,305.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,065.31 / $4,228.08 / $5,690.31