| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.40 | $45.10 | $48.11 | |
Cigna
| Facility | $46.18 | $46.18 | $46.18 | |
Cigna
| Professional | $39.25 | $39.25 | $60.61 | |
United
| Professional | $34.25 | $41.59 | $65.23 |
Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.40 | $45.10 | $48.11 | |
Cigna
| Facility | $46.18 | $46.18 | $46.18 | |
Cigna
| Professional | $39.25 | $39.25 | $60.61 | |
United
| Professional | $34.25 | $41.59 | $65.23 |