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Wheelchair Accessory, Ventilator Tray, Gimbaled

Hawaii rates for HCPCS E1030

Wheelchair accessory, ventilator tray, gimbaled

Rates data updated July 2026.

Facilitymedian $603 · 10th–90th $81$9550%20%10th90th$603Professionalmedian $1,445 · 10th–90th $603$1,8620%20%40%10th90th$1,445$100.0$200.0$500.0$1.0K

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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$602.56
Typical High
$1,122.02
HMSA
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,513.56
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$588.84
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$954.99
Typical High
$1,584.89