| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $598.64 | $838.13 | $838.13 | |
Cigna
| Professional | $1,140.20 | $1,140.20 | $1,140.20 | |
United
| Professional | $462.59 | $771.16 | $1,156.47 |
Amputee Wheelchair Detachable Arms (Desk Or Full Length) Swing Away Detachable Elevating Legrests (Special Coverage Instructions Apply. See Cim: 60-9)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $598.64 | $838.13 | $838.13 | |
Cigna
| Professional | $1,140.20 | $1,140.20 | $1,140.20 | |
United
| Professional | $462.59 | $771.16 | $1,156.47 |