| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.55 | $20.16 | $20.91 | |
Cigna
| Facility | $21.85 | $21.85 | $28.68 | |
Cigna
| Professional | $18.57 | $18.57 | $28.68 | |
United
| Professional | $10.59 | $15.88 | $19.82 |
Wheelchair accessory, calf rest/pad, replacement only, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.55 | $20.16 | $20.91 | |
Cigna
| Facility | $21.85 | $21.85 | $28.68 | |
Cigna
| Professional | $18.57 | $18.57 | $28.68 | |
United
| Professional | $10.59 | $15.88 | $19.82 |