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Hawaii rates for HCPCS E2203

Manual wheelchair accessory, nonstandard seat frame depth, 20 to less than 22 in

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.73 / $531.73 / $531.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.25 / $408.42 / $732.79
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.17 / $697.56 / $869.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.71 / $599.54 / $932.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.48 / $422.56 / $732.79
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.13 / $550.55 / $631.01