| 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
| 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 |