| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $382.93 | $533.33 | $533.33 | |
Cigna
| Professional | $659.87 | $659.87 | $659.87 | |
United
| Professional | $267.74 | $446.51 | $669.36 |
Wheelchair With Fixed Arm Elevating Legrests (Special Coverage Instructions Apply. See Cim: 60-6)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $382.93 | $533.33 | $533.33 | |
Cigna
| Professional | $659.87 | $659.87 | $659.87 | |
United
| Professional | $267.74 | $446.51 | $669.36 |