go back

Hawaii rates for HCPCS E2221

Manual Wheelchair Accessory Solid (Rubber/Plastic) Caster Tire (Removable) Any Size Replacement Only Each. (Desc Revised 1/1/2017)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.88 / $27.88 / $27.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.72 / $24.18 / $38.31
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.83 / $36.47 / $45.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.49 / $31.35 / $48.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.92 / $25.46 / $38.31
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.67 / $28.79 / $32.99