| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.49 | $28.85 | $31.53 | |
Cigna
| Facility | $31.91 | $31.91 | $31.91 | |
Cigna
| Professional | $27.12 | $27.12 | $41.89 | |
United
| Professional | $20.48 | $27.46 | $41.59 |
Manual wheelchair accessory, foam filled caster tire, any size, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.49 | $28.85 | $31.53 | |
Cigna
| Facility | $31.91 | $31.91 | $31.91 | |
Cigna
| Professional | $27.12 | $27.12 | $41.89 | |
United
| Professional | $20.48 | $27.46 | $41.59 |