| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.50 | $57.50 | $57.50 | |
Kaiser Permanente
| Professional | $68.83 | $68.83 | $68.83 | |
United
| Professional | $36.93 | $55.40 | $63.21 |
Seat height less than 17 in or equal to or greater than 21 in for a high-strength, lightweight, or ultralightweight wheelchair
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.50 | $57.50 | $57.50 | |
Kaiser Permanente
| Professional | $68.83 | $68.83 | $68.83 | |
United
| Professional | $36.93 | $55.40 | $63.21 |