| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,663.50 | $1,663.50 | $1,663.50 | |
Cigna
| Professional | $3,915.00 | $3,915.00 | $4,893.75 | |
United
| Professional | $887.20 | $1,565.64 | $4,425.89 |
Power wheelchair, group 2 standard, seat elevator, 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 | $1,663.50 | $1,663.50 | $1,663.50 | |
Cigna
| Professional | $3,915.00 | $3,915.00 | $4,893.75 | |
United
| Professional | $887.20 | $1,565.64 | $4,425.89 |