| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.04 | $4.53 | $4.80 | |
Cigna
| Facility | $4.84 | $4.84 | $6.37 | |
Cigna
| Professional | $4.12 | $4.12 | $6.37 | |
United
| Professional | $2.42 | $3.64 | $5.00 |
Manual wheelchair accessory, tube for pneumatic propulsion tire, any size, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.04 | $4.53 | $4.80 | |
Cigna
| Facility | $4.84 | $4.84 | $6.37 | |
Cigna
| Professional | $4.12 | $4.12 | $6.37 | |
United
| Professional | $2.42 | $3.64 | $5.00 |