| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.53 | $75.53 | $75.53 | |
Kaiser Permanente
| Professional | $113.53 | $113.53 | $113.53 | |
United
| Professional | $53.74 | $89.89 | $89.89 |
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.53 | $75.53 | $75.53 | |
Kaiser Permanente
| Professional | $113.53 | $113.53 | $113.53 | |
United
| Professional | $53.74 | $89.89 | $89.89 |