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Hawaii rates for HCPCS E2216

Manual wheelchair accessory, foam filled propulsion tire, any size, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $52.48 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $44.67 / $51.29
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $50.12 / $50.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $33.11 / $66.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.09 / $22.39 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $42.66 / $57.54