| 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
| 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 |