| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.96 | $32.97 | $35.67 | |
Cigna
| Facility | $35.11 | $35.11 | $35.11 | |
Cigna
| Professional | $29.84 | $29.84 | $46.08 | |
United
| Professional | $17.98 | $26.96 | $42.08 |
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 | $29.96 | $32.97 | $35.67 | |
Cigna
| Facility | $35.11 | $35.11 | $35.11 | |
Cigna
| Professional | $29.84 | $29.84 | $46.08 | |
United
| Professional | $17.98 | $26.96 | $42.08 |