| 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 in
| 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 |