go back

Hawaii rates for HCPCS E2377

Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.51 / $400.51 / $400.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.04 / $279.36 / $467.41
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.29 / $601.36 / $747.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.42 / $461.42 / $461.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.58 / $400.51 / $464.00
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.71 / $485.71 / $574.29