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Hawaii rates for HCPCS E2394

Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.44 / $73.44 / $73.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.18 / $54.37 / $100.90
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.73 / $96.05 / $119.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.20 / $82.56 / $128.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.53 / $59.85 / $100.90
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.93 / $75.81 / $86.89