| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.77 | $3.77 | $3.77 | |
Kaiser Permanente
| Professional | $4.63 | $4.63 | $4.63 | |
United
| Professional | $2.42 | $3.64 | $3.64 |
Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.77 | $3.77 | $3.77 | |
Kaiser Permanente
| Professional | $4.63 | $4.63 | $4.63 | |
United
| Professional | $2.42 | $3.64 | $3.64 |