| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.96 | $13.96 | $24.93 | |
BCBS
| Professional | $2.71 | $2.71 | $27.10 | |
Cigna
| Facility | $20.13 | $20.13 | $34.39 | |
United
| Professional | $13.57 | $14.70 | $24.28 |
Drive belt for power wheelchair, replacement only
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.96 | $13.96 | $24.93 | |
BCBS
| Professional | $2.71 | $2.71 | $27.10 | |
Cigna
| Facility | $20.13 | $20.13 | $34.39 | |
United
| Professional | $13.57 | $14.70 | $24.28 |