| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $412.99 | $412.99 | $412.99 | |
BCBS
| Professional | $767.21 | $767.21 | $767.21 | |
Cigna
| Facility | $296.00 | $296.00 | $296.00 | |
Cigna
| Professional | $251.60 | $251.60 | $296.00 |
Back Contoured For Pediatric Size Wheelchair Including Fixed Attaching Hardware
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $412.99 | $412.99 | $412.99 | |
BCBS
| Professional | $767.21 | $767.21 | $767.21 | |
Cigna
| Facility | $296.00 | $296.00 | $296.00 | |
Cigna
| Professional | $251.60 | $251.60 | $296.00 |