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Hawaii rates for HCPCS E2217

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

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.91 / $39.89 / $45.42
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.29 / $43.24 / $43.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $37.15 / $57.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.09 / $37.97 / $45.42
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.33 / $34.40 / $39.29