| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,936.64 | $2,936.64 | $2,936.64 | |
United
| Professional | $1,234.80 | $1,852.20 | $1,852.20 |
Power wheelchair, group 2 standard, multiple 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 | $2,936.64 | $2,936.64 | $2,936.64 | |
United
| Professional | $1,234.80 | $1,852.20 | $1,852.20 |