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Hawaii rates for HCPCS E2387

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

Facilitymedian $31 · 10th–90th $3–$620%5%10%10th90th$31Professionalmedian $40 · 10th–90th $33–$810%20%40%10th90th$40$5.0$10.0$20.0$50.0$100.0

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
$33.11 / $39.81 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $46.77 / $83.18
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $81.28 / $104.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $70.79 / $109.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $25.70 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $61.66 / $83.18