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Hawaii rates for HCPCS E2628

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $707.95 / $1,318.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $851.14 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $380.19 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $977.24 / $1,318.26