| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.28 | $59.28 | $59.28 | |
BCBS
| Professional | $767.21 | $767.21 | $767.21 | |
Cigna
| Facility | $526.69 | $526.69 | $526.69 | |
Cigna
| Professional | $447.69 | $526.69 | $526.69 |
Manual wheelchair accessory, for pediatric size wheelchair, dynamic seating frame, allows coordinated movement of multiple positioning features
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.28 | $59.28 | $59.28 | |
BCBS
| Professional | $767.21 | $767.21 | $767.21 | |
Cigna
| Facility | $526.69 | $526.69 | $526.69 | |
Cigna
| Professional | $447.69 | $526.69 | $526.69 |