go back

Hawaii rates for HCPCS E1011

Modification to pediatric size wheelchair, width adjustment package (not to be dispensed with initial chair)

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.00 / $424.00 / $424.00
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $523.55 / $523.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00