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Hawaii rates for HCPCS E1232

Wheelchair, pediatric size, tilt-in-space, folding, adjustable, with seating system

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,045.77 / $2,045.77 / $2,045.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.18 / $1,219.64 / $2,057.83
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,988.00 / $3,128.79 / $3,924.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.45 / $192.45 / $2,031.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.59 / $2,045.77 / $2,096.08
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,988.00 / $2,988.00 / $2,988.00