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Hawaii rates for HCPCS E1004

Wheelchair accessory, power seating system, recline only, with mechanical shear reduction

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,014.68 / $4,014.68 / $4,014.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.28 / $3,282.89 / $4,685.58
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,851.50 / $6,127.22 / $7,612.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,625.60 / $4,625.60 / $4,625.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,676.92 / $4,014.68 / $4,766.60
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,851.50 / $5,851.50 / $5,851.50