| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.70 | $22.70 | $22.70 | |
Kaiser Permanente
| Professional | $26.15 | $26.15 | $26.15 | |
United
| Professional | $14.59 | $21.88 | $21.88 |
Manual wheelchair accessory, pneumatic propulsion tire, any size, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.70 | $22.70 | $22.70 | |
Kaiser Permanente
| Professional | $26.15 | $26.15 | $26.15 | |
United
| Professional | $14.59 | $21.88 | $21.88 |