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Hawaii rates for HCPCS E1237

Wheelchair, pediatric size, rigid, adjustable, without seating system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $2,137.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $1,071.52 / $1,584.89
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,454.71 / $3,162.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $851.14 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,584.89 / $2,187.76