| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.13 | $25.78 | $28.94 | |
Cigna
| Facility | $28.34 | $28.34 | $37.19 | |
Cigna
| Professional | $24.09 | $24.09 | $24.09 | |
United
| Professional | $18.26 | $21.88 | $30.68 |
Manual wheelchair accessory, pneumatic propulsion tire, any size, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.13 | $25.78 | $28.94 | |
Cigna
| Facility | $28.34 | $28.34 | $37.19 | |
Cigna
| Professional | $24.09 | $24.09 | $24.09 | |
United
| Professional | $18.26 | $21.88 | $30.68 |