| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $264.83 | $264.83 | $264.83 | |
Kaiser Permanente
| Professional | $306.06 | $306.06 | $306.06 | |
United
| Professional | $170.16 | $255.25 | $255.25 |
Manual Wheelchair Accessory Nonstandard Seat Frame Width 24-27 Inches
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $264.83 | $264.83 | $264.83 | |
Kaiser Permanente
| Professional | $306.06 | $306.06 | $306.06 | |
United
| Professional | $170.16 | $255.25 | $255.25 |