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Hawaii rates for HCPCS E2632

Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.79 / $211.79 / $211.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.15 / $158.74 / $270.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.91 / $221.02 / $343.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.73 / $162.04 / $270.14
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.32 / $203.09 / $232.71