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Hawaii rates for HCPCS E1222

Wheelchair with fixed arm, elevating legrests

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.54 / $648.54 / $648.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $65.00 / $569.84
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,670.55 / $1,670.55 / $1,749.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.36 / $74.36 / $74.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.79 / $648.54 / $664.05