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Hawaii rates for HCPCS E2221

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

Facilitymedian $17 · 10th–90th $2–$280%5%10%10th90th$17Professionalmedian $19 · 10th–90th $14–$350%20%40%10th90th$19$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
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $19.05 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $24.55 / $38.02
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $37.15 / $47.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $25.12 / $50.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $13.49 / $22.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $28.18 / $38.02