| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.10 | $62.10 | $62.10 | |
Molina
| Professional | $30.00 | $30.00 | $55.00 | |
United
| Professional | $10.50 | $13.54 | $18.55 |
Evaluation for wheelchair requiring face-to-face visit with physician
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.10 | $62.10 | $62.10 | |
Molina
| Professional | $30.00 | $30.00 | $55.00 | |
United
| Professional | $10.50 | $13.54 | $18.55 |