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Hawaii rates for HCPCS E1235

Wheelchair, pediatric size, rigid, adjustable, with seating system

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,776.96 / $1,776.96 / $1,776.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.43 / $1,436.52 / $1,787.43
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,595.30 / $2,717.59 / $3,408.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.16 / $167.16 / $1,764.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.30 / $1,776.96 / $1,820.72
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.43 / $1,857.43 / $2,595.30