| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.23 | $120.23 | $120.23 | |
Cigna
| Facility | $95.50 | $95.50 | $95.50 | |
Cigna
| Professional | $79.43 | $95.50 | $151.36 |
Heavy-duty shock absorber for heavy-duty or extra heavy-duty power wheelchair, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.23 | $120.23 | $120.23 | |
Cigna
| Facility | $95.50 | $95.50 | $95.50 | |
Cigna
| Professional | $79.43 | $95.50 | $151.36 |