| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,454.88 | $3,454.88 | $3,454.88 | |
United
| Professional | $2,034.91 | $3,052.36 | $3,052.36 |
Power wheelchair, group 3 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 | $3,454.88 | $3,454.88 | $3,454.88 | |
United
| Professional | $2,034.91 | $3,052.36 | $3,052.36 |