| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $631.67 | $846.00 | $846.00 | |
Cigna
| Professional | $1,232.30 | $1,232.30 | $1,232.30 | |
United
| Professional | $499.98 | $833.34 | $1,249.96 |
High Strength Lightweight Wheelchair Fixed Full Length Arms Swing Away Detachable Elevating Leg Rests (Special Coverage Instructions Apply. See Cim: 60-9)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $631.67 | $846.00 | $846.00 | |
Cigna
| Professional | $1,232.30 | $1,232.30 | $1,232.30 | |
United
| Professional | $499.98 | $833.34 | $1,249.96 |