| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.41 | $19.48 | $20.72 | |
Cigna
| Facility | $20.72 | $20.72 | $27.20 | |
Cigna
| Professional | $17.61 | $17.61 | $27.20 | |
United
| Professional | $10.44 | $15.67 | $19.16 |
Manual wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.41 | $19.48 | $20.72 | |
Cigna
| Facility | $20.72 | $20.72 | $27.20 | |
Cigna
| Professional | $17.61 | $17.61 | $27.20 | |
United
| Professional | $10.44 | $15.67 | $19.16 |