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Hawaii rates for HCPCS E1233

Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, without seating system

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,119.73 / $2,119.73 / $2,119.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.80 / $1,406.76 / $2,132.23
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,095.70 / $3,241.57 / $4,066.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.41 / $199.41 / $2,104.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.67 / $2,119.73 / $2,171.51
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,095.70 / $3,095.70 / $3,095.70