| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $613.16 | $613.16 | $613.16 | |
Kaiser Permanente
| Professional | $755.18 | $755.18 | $755.18 | |
United
| Professional | $393.77 | $590.66 | $590.66 |
Wheelchair accessory, shoulder elbow, mobile arm support attached to wheelchair, balanced, friction arm support (friction dampening to proximal and distal joints)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $613.16 | $613.16 | $613.16 | |
Kaiser Permanente
| Professional | $755.18 | $755.18 | $755.18 | |
United
| Professional | $393.77 | $590.66 | $590.66 |