| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.86 | $28.84 | $30.78 | |
Cigna
| Facility | $30.64 | $30.64 | $40.22 | |
Cigna
| Professional | $26.04 | $26.04 | $26.04 | |
United
| Professional | $15.51 | $23.27 | $28.46 |
Manual wheelchair accessory, caster fork, any size, replacement only, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.86 | $28.84 | $30.78 | |
Cigna
| Facility | $30.64 | $30.64 | $40.22 | |
Cigna
| Professional | $26.04 | $26.04 | $26.04 | |
United
| Professional | $15.51 | $23.27 | $28.46 |