| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $0.02 | $0.02 | $0.02 | |
Medica
| Professional | $9.50 | $17.85 | $21.50 | |
United
| Professional | $8.75 | $17.85 | $21.00 |
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 | $0.02 | |
Medica
| Professional | $9.50 | $17.85 | $21.50 | |
United
| Professional | $8.75 | $17.85 | $21.00 |