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Manual Wheelchair Accessory, Foam Filled Caster Tire

Hawaii rates for HCPCS E2217

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

Rates data updated July 2026.

Facilitymedian $20 · 10th–90th $2$320%10%20%10th90th$20Professionalmedian $42 · 10th–90th $30$460%50%10th90th$42$1.0$2.0$5.0$10.0$20.0$50.0

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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$31.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$31.62
Typical High
$45.71
HMSA
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$43.65
Typical High
$43.65
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$0.50
Median
$29.51
Typical High
$58.88
United
Setting
Facility
Modifier
Global
Typical Low
$2.24
Median
$19.95
Typical High
$38.90
United
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$38.02
Typical High
$51.29