| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $71.56 | $73.42 | $2,355.54 | |
HMSA
| Professional | $1,364.40 | $1,364.40 | $1,428.69 | |
United
| Professional | $387.11 | $387.11 | $728.65 |
Other manual wheelchair/base
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $71.56 | $73.42 | $2,355.54 | |
HMSA
| Professional | $1,364.40 | $1,364.40 | $1,428.69 | |
United
| Professional | $387.11 | $387.11 | $728.65 |