| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.19 | $39.35 | $43.08 | |
Cigna
| Facility | $43.15 | $43.15 | $56.64 | |
Cigna
| Professional | $36.68 | $36.68 | $56.64 | |
United
| Professional | $21.71 | $32.57 | $45.17 |
Wheelchair Accessory Foot Box Any Type Includes Attachment And Mounting Hardware Each Foot (Reinstated Code) Old Description: Semi-Pneumatic Caster Each (Not Valid For Medicare) (Deleted 12/31/05)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.19 | $39.35 | $43.08 | |
Cigna
| Facility | $43.15 | $43.15 | $56.64 | |
Cigna
| Professional | $36.68 | $36.68 | $56.64 | |
United
| Professional | $21.71 | $32.57 | $45.17 |