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Hawaii rates for HCPCS E2395

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $40.74 / $72.44
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $70.79 / $89.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $51.29 / $93.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $22.39 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $52.48 / $72.44