| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,289.84 | $2,289.84 | $2,289.84 | |
United
| Professional | $857.20 | $1,285.80 | $1,285.80 |
Power wheelchair, group 1 standard, 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 | $2,289.84 | $2,289.84 | $2,289.84 | |
United
| Professional | $857.20 | $1,285.80 | $1,285.80 |