| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.17 | $58.17 | $58.17 | |
Kaiser Permanente
| Professional | $69.43 | $69.43 | $69.43 | |
United
| Professional | $37.50 | $56.05 | $56.05 |
Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.17 | $58.17 | $58.17 | |
Kaiser Permanente
| Professional | $69.43 | $69.43 | $69.43 | |
United
| Professional | $37.50 | $56.05 | $56.05 |