go back

Hawaii rates for HCPCS E0974

Manual wheelchair accessory, antirollback device, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $56.23 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $47.86 / $77.62
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $75.86 / $91.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $64.57 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $37.15 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $70.79 / $95.50