| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,044.76 | $3,044.76 | $3,044.76 | |
Aetna
| Professional | $3,044.76 | $3,044.76 | $3,044.76 | |
Molina
| Professional | $60.00 | $4,405.53 | $7,636.26 |
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 | $3,044.76 | $3,044.76 | $3,044.76 | |
Aetna
| Professional | $3,044.76 | $3,044.76 | $3,044.76 | |
Molina
| Professional | $60.00 | $4,405.53 | $7,636.26 |