| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,202.53 | $3,814.25 | $3,814.25 | |
Aetna
| Professional | $1,557.09 | $3,202.53 | $3,814.25 | |
Wellpoint
| Professional | $3,400.00 | $3,400.00 | $3,400.00 |
Hospital bed, pediatric, electric or semi-electric, 360 degree side enclosures, top of headboard, footboard and side rails up to 24 in above the spring, includes mattress
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,202.53 | $3,814.25 | $3,814.25 | |
Aetna
| Professional | $1,557.09 | $3,202.53 | $3,814.25 | |
Wellpoint
| Professional | $3,400.00 | $3,400.00 | $3,400.00 |