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Hawaii rates for HCPCS E2202

Manual wheelchair accessory, nonstandard seat frame width, 24-27 in

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.08 / $526.08 / $526.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.55 / $422.81 / $724.94
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.04 / $690.09 / $859.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.29 / $593.14 / $922.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.94 / $425.41 / $724.94
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.30 / $544.66 / $624.27