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Hawaii rates for HCPCS E2387

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $46.77 / $83.18
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $81.28 / $104.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $60.26 / $109.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.47 / $25.70 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $61.66 / $83.18