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Hawaii rates for HCPCS E2389

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

Facilitymedian $19 · 10th–90th $2–$260%10%20%10th90th$19Professionalmedian $18 · 10th–90th $13–$350%20%40%10th90th$18$2.0$5.0$10.0$20.0$50.0

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
$12.88 / $18.20 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $25.70 / $36.31
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $35.48 / $44.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $30.20 / $46.77
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $14.13 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $26.92 / $36.31