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Hawaii rates for HCPCS E1237

Wheelchair Pediatric Size Rigid Adjustable Without Seating System

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,581.28 / $1,581.28 / $1,581.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.22 / $1,071.00 / $1,590.75
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,309.50 / $2,418.32 / $3,033.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.77 / $148.77 / $1,570.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.70 / $1,581.28 / $1,620.06
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,309.50 / $2,309.50 / $2,309.50