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Hawaii rates for HCPCS E2391

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $16.22 / $26.30
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $26.30 / $33.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $19.50 / $34.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $9.12 / $15.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $19.50 / $26.30