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Hawaii rates for HCPCS E2381

Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.65 / $71.65 / $71.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.02 / $56.29 / $98.30
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.36 / $93.57 / $116.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.55 / $80.42 / $125.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.29 / $60.04 / $98.30
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.00 / $73.86 / $77.73