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Hawaii rates for HCPCS E1030

Wheelchair accessory, ventilator tray, gimbaled

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $1,288.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $602.56 / $1,122.02
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,513.56 / $1,949.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $616.60 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $954.99 / $1,584.89