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Hawaii rates for HCPCS E0966

Manual Wheelchair Accessory Headrest Extension Each. (Rvsd 1/1/04)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.12 / $98.12 / $98.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $65.00 / $121.77
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.70 / $115.92 / $144.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.84 / $99.63 / $154.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.04 / $65.66 / $121.77
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.68 / $90.60 / $104.91