| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $80.00 | $100.00 | $100.00 | |
Medica
| Professional | $8.30 | $10.50 | $17.93 | |
United
| Professional | $8.50 | $10.50 | $18.14 |
Evaluation for wheelchair requiring face-to-face visit with physician
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $80.00 | $100.00 | $100.00 | |
Medica
| Professional | $8.30 | $10.50 | $17.93 | |
United
| Professional | $8.50 | $10.50 | $18.14 |