| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.28 | $59.28 | $59.28 | |
Cigna
| Facility | $526.69 | $526.69 | $526.69 | |
Cigna
| Professional | $526.69 | $526.69 | $526.69 | |
Medica
| Facility | $100.18 | $100.18 | $162.43 |
Manual Wheelchair Accessory For Pediatric Size Wheelchair Dynamic Seating
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.28 | $59.28 | $59.28 | |
Cigna
| Facility | $526.69 | $526.69 | $526.69 | |
Cigna
| Professional | $526.69 | $526.69 | $526.69 | |
Medica
| Facility | $100.18 | $100.18 | $162.43 |