| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.68 | $14.68 | $14.68 | |
Kaiser Permanente
| Professional | $18.03 | $18.03 | $18.03 | |
United
| Professional | $9.42 | $14.14 | $16.62 |
Drive belt for power wheelchair, replacement only
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.68 | $14.68 | $14.68 | |
Kaiser Permanente
| Professional | $18.03 | $18.03 | $18.03 | |
United
| Professional | $9.42 | $14.14 | $16.62 |