| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.36 | $16.36 | $16.36 | |
Kaiser Permanente
| Professional | $20.69 | $20.69 | $20.69 | |
United
| Professional | $10.35 | $15.88 | $15.88 |
Wheelchair accessory, calf rest/pad, replacement only, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.36 | $16.36 | $16.36 | |
Kaiser Permanente
| Professional | $20.69 | $20.69 | $20.69 | |
United
| Professional | $10.35 | $15.88 | $15.88 |