| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $666.67 | $666.67 | $666.67 | |
Kaiser Permanente
| Professional | $981.18 | $981.18 | $981.18 | |
United
| Professional | $474.38 | $793.44 | $793.44 |
Wide heavy-duty wheelchair, detachable arms, desk or full-length arms, swing-away detachable footrests
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $666.67 | $666.67 | $666.67 | |
Kaiser Permanente
| Professional | $981.18 | $981.18 | $981.18 | |
United
| Professional | $474.38 | $793.44 | $793.44 |