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Hawaii rates for HCPCS E1221

Wheelchair With Fixed Arm Footrests (Special Coverage Instructions Apply. See Cim: 60-6)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.52 / $454.52 / $454.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.24 / $399.37 / $407.81
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.15 / $942.15 / $986.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.16 / $43.16 / $43.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.34 / $454.52 / $465.56