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Hawaii rates for HCPCS E2386

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

Facilitymedian $60 · 10th–90th $7–$1410%10%20%10th90th$60Professionalmedian $89 · 10th–90th $74–$1740%20%40%10th90th$89$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $89.13 / $125.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $100.00 / $169.82
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $181.97 / $213.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $144.54 / $223.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $53.70 / $81.28
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $138.04 / $169.82