| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $25.20 | $25.20 | $25.20 | |
United
| Professional | $7.00 | $9.98 | $17.54 | |
Wellpoint
| Professional | $19.09 | $19.09 | $19.09 |
Evaluation for wheelchair requiring face-to-face visit with physician
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $25.20 | $25.20 | $25.20 | |
United
| Professional | $7.00 | $9.98 | $17.54 | |
Wellpoint
| Professional | $19.09 | $19.09 | $19.09 |