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Hawaii rates for HCPCS E2391

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

Facilitymedian $11 · 10th–90th $1–$190%10%20%10th90th$11Professionalmedian $12 · 10th–90th $10–$260%20%40%10th90th$12$2.0$5.0$10.0$20.0

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
$10.00 / $12.02 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $16.22 / $26.30
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $26.30 / $33.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $22.39 / $34.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $9.12 / $15.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $19.50 / $26.30