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Hawaii rates for HCPCS E1087

High strength lightweight wheelchair, fixed full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,621.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $1,071.52
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,162.28 / $3,162.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $645.65 / $1,174.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,202.26 / $1,659.59