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Hawaii rates for HCPCS K0004

High strength, lightweight wheelchair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $660.69 / $794.33
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,187.76 / $2,187.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $346.74 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $660.69 / $912.01