| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.68 | $13.02 | $13.91 | |
Cigna
| Facility | $13.81 | $13.81 | $13.81 | |
Cigna
| Professional | $11.74 | $11.74 | $18.12 | |
United
| Professional | $7.01 | $10.51 | $17.43 |
Power wheelchair accessory, solid (rubber/plastic) caster tire (removable), any size, replacement only, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.68 | $13.02 | $13.91 | |
Cigna
| Facility | $13.81 | $13.81 | $13.81 | |
Cigna
| Professional | $11.74 | $11.74 | $18.12 | |
United
| Professional | $7.01 | $10.51 | $17.43 |