| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.46 | $23.46 | $23.46 | |
Kaiser Permanente
| Professional | $27.50 | $27.50 | $27.50 | |
United
| Professional | $15.07 | $22.60 | $22.60 |
Manual Wheelchair Accessory Wheel Lock Assembly Complete Replacement Only Each. (Desc Revised 01/01/2017)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.46 | $23.46 | $23.46 | |
Kaiser Permanente
| Professional | $27.50 | $27.50 | $27.50 | |
United
| Professional | $15.07 | $22.60 | $22.60 |