| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $0.02 | $0.02 | $100.00 | |
Medica
| Professional | $10.50 | $19.48 | $36.60 | |
United
| Professional | $10.50 | $19.60 | $36.60 |
Evaluation for wheelchair requiring face-to-face visit with physician
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $0.02 | $0.02 | $100.00 | |
Medica
| Professional | $10.50 | $19.48 | $36.60 | |
United
| Professional | $10.50 | $19.60 | $36.60 |