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Hawaii rates for HCPCS E2626

Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, adjustable

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $588.84 / $1,096.48
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,071.52 / $1,380.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $724.44 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $323.59 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $831.76 / $1,096.48