| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.49 | $13.49 | $13.49 | |
Kaiser Permanente
| Professional | $16.53 | $16.53 | $16.53 | |
United
| Professional | $8.66 | $13.00 | $13.00 |
Manual Wheelchair Accessory Solid (Rubber/Plastic) Caster Tire With Integrated Wheel Any Size Replacement Only Each (Desc Revised 01/01/2017)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.49 | $13.49 | $13.49 | |
Kaiser Permanente
| Professional | $16.53 | $16.53 | $16.53 | |
United
| Professional | $8.66 | $13.00 | $13.00 |