| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.98 | $18.98 | $18.98 | |
Kaiser Permanente
| Professional | $23.02 | $23.02 | $23.02 | |
United
| Professional | $12.19 | $18.29 | $18.29 |
Manual Wheelchair Accessory Insert For Pneumatic Propulsion Tire (Removeable) Any Type Any Size Each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.98 | $18.98 | $18.98 | |
Kaiser Permanente
| Professional | $23.02 | $23.02 | $23.02 | |
United
| Professional | $12.19 | $18.29 | $18.29 |