| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,099.67 | $2,099.67 | $2,099.67 | |
CareFirst
| Professional | $3,341.25 | $3,341.25 | $3,573.24 | |
United
| Professional | $819.07 | $1,228.59 | $1,511.44 |
Power wheelchair, group 1 standard, portable, captain's chair, patient weight capacity up to and including 300 pounds
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,099.67 | $2,099.67 | $2,099.67 | |
CareFirst
| Professional | $3,341.25 | $3,341.25 | $3,573.24 | |
United
| Professional | $819.07 | $1,228.59 | $1,511.44 |