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Hawaii rates for HCPCS E1170

Amputee wheelchair, fixed full-length arms, swing-away detachable elevating legrests

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$854.62 / $854.62 / $854.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.66 / $750.90 / $766.64
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,588.50 / $1,588.50 / $1,663.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.55 / $86.55 / $86.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.95 / $854.62 / $875.17
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.28 / $1,073.28 / $1,073.28