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Hawaii rates for HCPCS E2217

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

Facilitymedian $26 · 10th–90th $3–$390%10%10th90th$26Professionalmedian $54 · 10th–90th $42–$1000%20%40%10th90th$54$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
$44.67 / $100.00 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $45.71
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $43.65 / $43.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.50 / $29.51 / $58.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $19.95 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $38.02 / $51.29