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Hawaii rates for HCPCS E0995

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

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