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Hawaii rates for HCPCS E1014

Reclining back, addition to pediatric size wheelchair

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.41 / $349.41 / $349.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.07 / $172.77 / $351.38
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.40 / $534.45 / $670.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.86 / $32.86 / $346.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.20 / $349.41 / $358.01
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.14 / $365.14 / $510.40