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Hawaii rates for HCPCS E2224

Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.31 / $81.31 / $81.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.51 / $73.04 / $112.60
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.36 / $107.18 / $134.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.34 / $92.12 / $143.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.74 / $58.05 / $77.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.56 / $81.31 / $112.60
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.28 / $97.43