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Hawaii rates for HCPCS E2631

Wheelchair accessory, addition to mobile arm support, elevating proximal arm

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.33 / $444.33 / $444.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.43 / $263.95 / $551.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.86 / $451.14 / $701.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.37 / $254.06 / $551.40
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.26 / $414.65 / $475.07