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Hawaii rates for HCPCS E2389

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $26.30 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $25.70 / $36.31
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $35.48 / $44.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $25.70 / $46.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $14.13 / $24.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $26.92 / $36.31