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Hawaii rates for HCPCS E1195

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

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,201.95 / $1,201.95 / $1,201.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.05 / $124.05 / $1,056.08
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,711.70 / $2,711.70 / $2,839.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.78 / $147.78 / $147.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.01 / $1,201.95 / $1,231.02