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Nebraska rates for HCPCS K0863

Power wheelchair, group 3 very heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,039.08 / $15,039.08 / $15,039.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,607.42 / $16,848.91 / $17,735.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,155.72 / $11,155.72 / $11,155.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,155.72 / $11,155.72 / $26,320.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,037.87 / $12,107.61 / $16,767.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,955.90 / $6,040.36 / $9,476.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,069.25 / $2,394.32 / $4,721.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,333.65 / $2,613.92 / $4,721.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,253.81 / $6,040.36 / $8,129.34