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Hawaii rates for HCPCS E1200

Amputee wheelchair, fixed full-length arms, swing-away detachable footrest

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.60 / $832.60 / $832.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.92 / $731.57 / $746.73
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,868.85 / $1,868.85 / $1,956.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.83 / $101.83 / $101.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.07 / $832.60 / $852.80