| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.32 | $22.09 | $24.19 | |
Cigna
| Facility | $23.28 | $23.28 | $30.56 | |
Cigna
| Professional | $19.79 | $19.79 | $30.56 | |
United
| Professional | $12.19 | $18.28 | $25.85 |
Manual wheelchair accessory, insert for pneumatic propulsion tire (removable), any type, any size, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.32 | $22.09 | $24.19 | |
Cigna
| Facility | $23.28 | $23.28 | $30.56 | |
Cigna
| Professional | $19.79 | $19.79 | $30.56 | |
United
| Professional | $12.19 | $18.28 | $25.85 |