go back

Hawaii rates for HCPCS E1240

Lightweight Wheelchair Detachable Arms (Desk Or Full Length) Swing Away Detachable Elevating Legrest (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.49 / $985.49 / $985.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.81 / $200.00 / $865.90
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,719.75 / $1,719.75 / $1,800.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.04 / $105.04 / $105.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.47 / $985.49 / $1,009.79
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.81 / $1,161.81 / $1,161.81