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Hawaii rates for HCPCS E1295

Heavy-duty wheelchair, fixed full-length arms, elevating legrest

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,162.07 / $1,162.07 / $1,162.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.94 / $1,021.04 / $1,042.44
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,407.65 / $2,407.65 / $2,521.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.19 / $131.19 / $131.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.34 / $1,162.07 / $1,190.24
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.69 / $1,626.69 / $1,626.69