| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $275.70 | $275.70 | $275.70 | |
BCBS
| Professional | $144.88 | $144.88 | $144.88 | |
Cigna
| Facility | $226.63 | $226.63 | $226.63 | |
Cigna
| Professional | $192.64 | $192.64 | $226.63 |
Seat Contoured For Pediatric Size Wheelchair Including Fixed Attaching Hardware
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $275.70 | $275.70 | $275.70 | |
BCBS
| Professional | $144.88 | $144.88 | $144.88 | |
Cigna
| Facility | $226.63 | $226.63 | $226.63 | |
Cigna
| Professional | $192.64 | $192.64 | $226.63 |