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Hawaii rates for HCPCS E1172

Amputee wheelchair, detachable arms (desk or full-length) without footrests or legrest

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$936.88 / $936.88 / $936.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.75 / $823.19 / $840.94
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,326.50 / $2,326.50 / $2,436.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.78 / $126.78 / $126.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.01 / $936.88 / $959.98