| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $108.25 | $108.25 | $108.25 | |
Kaiser Permanente
| Professional | $132.94 | $132.94 | $132.94 | |
United
| Professional | $69.52 | $104.28 | $104.28 |
Wheelchair accessory, addition to mobile arm support, offset or lateral rocker arm with elastic balance control
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $108.25 | $108.25 | $108.25 | |
Kaiser Permanente
| Professional | $132.94 | $132.94 | $132.94 | |
United
| Professional | $69.52 | $104.28 | $104.28 |