| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.88 | $126.02 | $137.94 | |
Cigna
| Facility | $83.15 | $83.15 | $83.15 | |
Cigna
| Professional | $60.70 | $70.68 | $83.15 | |
United
| Professional | $69.52 | $104.28 | $180.52 |
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 | $115.88 | $126.02 | $137.94 | |
Cigna
| Facility | $83.15 | $83.15 | $83.15 | |
Cigna
| Professional | $60.70 | $70.68 | $83.15 | |
United
| Professional | $69.52 | $104.28 | $180.52 |