| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $10.30 | $12.80 | $19.00 | |
United
| Professional | $10.19 | $13.00 | $19.55 |
Evaluation for wheelchair requiring face-to-face visit with physician
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $10.30 | $12.80 | $19.00 | |
United
| Professional | $10.19 | $13.00 | $19.55 |