| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $25.20 | $25.20 | $25.20 | |
Providence
| Professional | $1,800,000.00 | $2,250,000.00 | $2,400,000.00 | |
United
| Professional | $13.60 | $16.27 | $18.43 |
Evaluation for wheelchair requiring face-to-face visit with physician
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $25.20 | $25.20 | $25.20 | |
Providence
| Professional | $1,800,000.00 | $2,250,000.00 | $2,400,000.00 | |
United
| Professional | $13.60 | $16.27 | $18.43 |