| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.93 | $32.60 | $35.63 | |
Cigna
| Facility | $36.06 | $36.06 | $47.33 | |
Cigna
| Professional | $30.65 | $30.65 | $47.33 | |
United
| Professional | $17.96 | $26.93 | $43.43 |
Manual wheelchair accessory, foam propulsion tire, any size, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.93 | $32.60 | $35.63 | |
Cigna
| Facility | $36.06 | $36.06 | $47.33 | |
Cigna
| Professional | $30.65 | $30.65 | $47.33 | |
United
| Professional | $17.96 | $26.93 | $43.43 |