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Hawaii rates for HCPCS E2204

Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 in

Facilitymedian $457 · 10th–90th $51–$9120%10%10th90th$457Professionalmedian $575 · 10th–90th $468–$1,2020%20%40%10th90th$575$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $575.44 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $707.95 / $1,230.27
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,202.26 / $1,548.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $812.83 / $1,621.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $380.19 / $616.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $912.01 / $1,230.27