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Hawaii rates for HCPCS E1089

High-strength lightweight wheelchair, fixed-length arms, swing-away detachable footrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,023.29 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $616.60 / $1,122.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,174.90 / $1,584.89