| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.96 | $48.00 | $48.76 | |
Cigna
| Facility | $48.69 | $48.69 | $48.69 | |
Cigna
| Professional | $41.39 | $41.39 | $63.90 | |
United
| Professional | $24.58 | $36.86 | $60.68 |
Power wheelchair accessory, pneumatic caster tire, any size, replacement only, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.96 | $48.00 | $48.76 | |
Cigna
| Facility | $48.69 | $48.69 | $48.69 | |
Cigna
| Professional | $41.39 | $41.39 | $63.90 | |
United
| Professional | $24.58 | $36.86 | $60.68 |