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Hawaii rates for HCPCS E2390

Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.93 / $40.93 / $40.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.79 / $39.42 / $56.09
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.99 / $53.39 / $66.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.59 / $45.76 / $71.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.23 / $41.36 / $56.09
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.85 / $42.02 / $44.22