| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $783.67 | $783.67 | $783.67 | |
HMSA
| Professional | $1,892.00 | $1,981.15 | $1,981.15 | |
Kaiser Permanente
| Professional | $189.20 | $189.20 | $189.20 |
Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, with seating system
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $783.67 | $783.67 | $783.67 | |
HMSA
| Professional | $1,892.00 | $1,981.15 | $1,981.15 | |
Kaiser Permanente
| Professional | $189.20 | $189.20 | $189.20 |