go back

Hawaii rates for HCPCS E1250

Lightweight wheelchair, fixed full-length arms, swing-away detachable footrest

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.54 / $825.54 / $825.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $200.00 / $725.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.11 / $63.11 / $63.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.98 / $717.10 / $825.54
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.61 / $805.61 / $805.61