| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $238.98 | $238.98 | $238.98 | |
CareFirst
| Professional | $400.10 | $400.10 | $400.10 |
Back, planar, for pediatric size wheelchair including fixed attaching hardware
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $238.98 | $238.98 | $238.98 | |
CareFirst
| Professional | $400.10 | $400.10 | $400.10 |