| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.09 | $74.09 | $74.09 | |
Cigna
| Facility | $526.69 | $526.69 | $526.69 | |
Cigna
| Professional | $447.69 | $526.69 | $526.69 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 |
Manual Wheelchair Accessory For Pediatric Size Wheelchair Dynamic Seating
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.09 | $74.09 | $74.09 | |
Cigna
| Facility | $526.69 | $526.69 | $526.69 | |
Cigna
| Professional | $447.69 | $526.69 | $526.69 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 |