| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $463.74 | $621.08 | $621.08 | |
Cigna
| Professional | $768.75 | $768.75 | $768.75 | |
United
| Professional | $311.98 | $519.95 | $779.95 |
Lightweight Wheelchair Fixed Full Length Arms Swing Away Detachable Elevating Legrests (Special Coverage Instructions Apply. See Cim: 60-9)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $463.74 | $621.08 | $621.08 | |
Cigna
| Professional | $768.75 | $768.75 | $768.75 | |
United
| Professional | $311.98 | $519.95 | $779.95 |