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Hawaii rates for HCPCS E2221

Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $23.99 / $38.02
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $37.15 / $47.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $25.12 / $50.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $13.49 / $22.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $28.18 / $38.02