| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.30 | $46.09 | $50.36 | |
Cigna
| Facility | $48.02 | $48.02 | $48.02 | |
Cigna
| Professional | $40.82 | $40.82 | $63.02 | |
United
| Professional | $25.38 | $38.07 | $57.14 |
Power wheelchair accessory, pneumatic drive wheel tire, any size, replacement only, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.30 | $46.09 | $50.36 | |
Cigna
| Facility | $48.02 | $48.02 | $48.02 | |
Cigna
| Professional | $40.82 | $40.82 | $63.02 | |
United
| Professional | $25.38 | $38.07 | $57.14 |