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Hawaii rates for HCPCS E2395

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

Facilitymedian $27 · 10th–90th $3–$520%5%10%10th90th$27Professionalmedian $33 · 10th–90th $27–$690%20%40%10th90th$33$5.0$10.0$20.0$50.0$100.0

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
$26.92 / $33.11 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $40.74 / $72.44
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $70.79 / $89.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $60.26 / $93.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $22.39 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $52.48 / $72.44