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Hawaii rates for HCPCS E2215

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

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.48 / $10.48 / $10.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $9.09 / $14.51
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.19 / $13.81 / $17.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $11.87 / $18.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $5.69 / $14.51
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.93 / $10.97 / $12.56