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Hawaii rates for HCPCS E0995

Wheelchair accessory, calf rest/pad, replacement only, each

Facilitymedian $18 · 10th–90th $2–$340%10%20%10th90th$18Professionalmedian $18 · 10th–90th $12–$400%20%10th90th$18$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $18.20 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $28.84 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $25.70 / $41.69
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $39.81 / $48.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $26.92 / $53.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $13.49 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $33.88 / $41.69