| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,751.72 | $1,751.72 | $1,751.72 | |
Aetna
| Professional | $1,751.72 | $1,751.72 | $1,751.72 | |
Medica
| Facility | $1,751.72 | $1,751.72 | $2,569.00 |
Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, with seating system
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,751.72 | $1,751.72 | $1,751.72 | |
Aetna
| Professional | $1,751.72 | $1,751.72 | $1,751.72 | |
Medica
| Facility | $1,751.72 | $1,751.72 | $2,569.00 |