| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $570.20 | $608.45 | $615.67 | |
Cigna
| Professional | $81.84 | $768.75 | $768.75 | |
United
| Professional | $309.18 | $474.01 | $567.40 |
Lightweight wheelchair, fixed full-length arms, swing-away detachable elevating legrests
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $570.20 | $608.45 | $615.67 | |
Cigna
| Professional | $81.84 | $768.75 | $768.75 | |
United
| Professional | $309.18 | $474.01 | $567.40 |