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Hawaii rates for HCPCS E1230

Power operated vehicle (three- or four-wheel nonhighway), specify brand name and model number

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,180.62 / $2,180.62 / $2,180.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,786.79 / $1,890.58 / $3,019.43
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,744.94 / $2,874.28 / $3,605.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.46 / $2,470.44 / $3,842.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,254.33 / $2,180.62 / $3,019.43
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.73 / $2,282.38 / $2,612.67