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Hawaii rates for HCPCS E2616

Positioning wheelchair back cushion, posterior-lateral, width 22 in or greater, any height, including any type mounting hardware

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.21 / $582.21 / $582.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.09 / $445.19 / $802.22
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.29 / $763.65 / $951.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.50 / $656.36 / $1,021.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.95 / $476.81 / $802.22
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.69 / $602.73 / $690.80