| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.58 | $30.35 | $32.84 | |
Cigna
| Facility | $32.79 | $32.79 | $32.79 | |
Cigna
| Professional | $27.87 | $27.87 | $43.03 | |
United
| Professional | $16.54 | $24.82 | $36.36 |
Power wheelchair accessory, solid (rubber/plastic) drive wheel tire, any size, replacement only, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.58 | $30.35 | $32.84 | |
Cigna
| Facility | $32.79 | $32.79 | $32.79 | |
Cigna
| Professional | $27.87 | $27.87 | $43.03 | |
United
| Professional | $16.54 | $24.82 | $36.36 |