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Hawaii rates for HCPCS E2392

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $51.29 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $38.90 / $70.79
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $69.18 / $87.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $51.29 / $91.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $22.39 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $51.29 / $70.79