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Hawaii rates for HCPCS E2222

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

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.38 / $23.38 / $23.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $20.26 / $32.08
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.13 / $30.53 / $38.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $26.24 / $40.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.53 / $21.25 / $32.08
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.10 / $27.62