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Hawaii rates for HCPCS E2627

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $912.01 / $2,454.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,621.81 / $3,235.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $489.78 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,258.93 / $2,454.71