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Hawaii rates for HCPCS E2388

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

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.19 / $48.19 / $48.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.90 / $45.55 / $65.44
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.49 / $62.29 / $77.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.52 / $53.38 / $83.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.97 / $48.03 / $65.44
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.83 / $49.02 / $51.59