| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.45 | $23.15 | $26.73 | |
Cigna
| Facility | $25.90 | $25.90 | $34.00 | |
Cigna
| Professional | $22.02 | $22.02 | $34.00 | |
United
| Professional | $13.47 | $20.21 | $27.00 |
Manual wheelchair accessory, pneumatic caster tire, any size, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.45 | $23.15 | $26.73 | |
Cigna
| Facility | $25.90 | $25.90 | $34.00 | |
Cigna
| Professional | $22.02 | $22.02 | $34.00 | |
United
| Professional | $13.47 | $20.21 | $27.00 |