| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,736.08 | $2,736.08 | $2,736.08 | |
CareFirst
| Professional | $3,138.50 | $3,138.50 | $4,533.50 | |
United
| Professional | $923.55 | $1,385.32 | $1,385.32 |
Power wheelchair, group 2 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 | $2,736.08 | $2,736.08 | $2,736.08 | |
CareFirst
| Professional | $3,138.50 | $3,138.50 | $4,533.50 | |
United
| Professional | $923.55 | $1,385.32 | $1,385.32 |