| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.00 | $24.00 | $24.00 | |
Cigna
| Professional | $783.67 | $783.67 | $783.67 | |
Molina
| Professional | $60.00 | $1,526.79 | $2,646.43 |
Wheelchair Pediatric Size Tilt-N-Space Rigid Adjustable With Seating System
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.00 | $24.00 | $24.00 | |
Cigna
| Professional | $783.67 | $783.67 | $783.67 | |
Molina
| Professional | $60.00 | $1,526.79 | $2,646.43 |