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Hawaii rates for HCPCS E2212

Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.41 / $6.41 / $6.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $5.57 / $8.88
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.05 / $8.43 / $10.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $7.26 / $11.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $5.85 / $8.88
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.66 / $6.68 / $7.66