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Nebraska rates for HCPCS K0864

Power wheelchair, group 3 extra heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,896.50 / $17,896.50 / $17,896.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,572.84 / $20,050.22 / $21,105.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,275.38 / $13,275.38 / $13,275.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,275.38 / $13,275.38 / $31,317.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,375.15 / $14,408.01 / $19,953.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,707.57 / $7,188.04 / $11,276.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,462.40 / $2,849.24 / $5,619.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,777.04 / $3,110.57 / $5,619.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,062.03 / $7,188.04 / $10,424.96