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Hawaii rates for HCPCS E1015

Shock absorber for manual wheelchair, each

Facilitymedian $76 · 10th–90th $8–$1260%5%10%10th90th$76Professionalmedian $89 · 10th–90th $66–$1700%20%10th90th$89$10.0$20.0$50.0$100.0$200.0

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
$66.07 / $89.13 / $138.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $112.20 / $173.78
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $169.82 / $208.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $114.82 / $229.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $60.26 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $125.89 / $173.78