| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $9.98 | $17.50 | $23.74 | |
United
| Professional | $9.23 | $17.46 | $23.74 |
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 | $9.98 | $17.50 | $23.74 | |
United
| Professional | $9.23 | $17.46 | $23.74 |