| 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 legrests
| 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 |