| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,934.48 | $3,934.48 | $3,934.48 | |
CareFirst
| Professional | $6,406.19 | $6,406.19 | $7,144.55 | |
United
| Professional | $2,317.39 | $3,476.08 | $3,476.08 |
Power wheelchair, group 3 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 | $3,934.48 | $3,934.48 | $3,934.48 | |
CareFirst
| Professional | $6,406.19 | $6,406.19 | $7,144.55 | |
United
| Professional | $2,317.39 | $3,476.08 | $3,476.08 |