go back

Hawaii rates for HCPCS E2369

Power wheelchair component, drive wheel gear box, replacement only

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$430.44 / $430.44 / $430.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.75 / $332.93 / $432.99
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.10 / $564.50 / $703.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.44 / $427.44 / $427.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.09 / $202.09 / $430.44
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.10 / $539.10 / $539.10