| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.99 | $27.99 | $27.99 | |
Kaiser Permanente
| Professional | $34.61 | $34.61 | $34.61 | |
United
| Professional | $17.98 | $26.96 | $27.89 |
Power wheelchair accessory, tube for pneumatic caster tire, any size, replacement only, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.99 | $27.99 | $27.99 | |
Kaiser Permanente
| Professional | $34.61 | $34.61 | $34.61 | |
United
| Professional | $17.98 | $26.96 | $27.89 |