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Hawaii rates for HCPCS E2619

Replacement cover for wheelchair seat cushion or back cushion, each

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.09 / $49.09 / $49.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.06 / $46.90 / $67.00
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.39 / $48.58 / $79.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.51 / $54.66 / $85.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.69 / $49.09 / $67.00
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $51.32 / $57.53