| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.63 | $41.63 | $41.63 | |
Kaiser Permanente
| Professional | $51.09 | $51.09 | $51.09 | |
United
| Professional | $26.26 | $40.10 | $45.12 |
Manual Wheelchair Accessory Headrest Extension Each. (Rvsd 1/1/04)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.63 | $41.63 | $41.63 | |
Kaiser Permanente
| Professional | $51.09 | $51.09 | $51.09 | |
United
| Professional | $26.26 | $40.10 | $45.12 |