| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,861.12 | $2,861.12 | $2,861.12 | |
CareFirst
| Professional | $4,604.50 | $4,604.50 | $4,604.50 | |
United
| Professional | $1,160.88 | $1,741.32 | $1,741.32 |
Power wheelchair, group 2 standard, single power option, 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 | $2,861.12 | $2,861.12 | $2,861.12 | |
CareFirst
| Professional | $4,604.50 | $4,604.50 | $4,604.50 | |
United
| Professional | $1,160.88 | $1,741.32 | $1,741.32 |