| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7,874.59 | $7,874.59 | $7,874.59 | |
CareFirst
| Professional | $11,496.88 | $11,496.88 | $11,496.88 |
Power wheelchair, group 5 pediatric, single power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7,874.59 | $7,874.59 | $7,874.59 | |
CareFirst
| Professional | $11,496.88 | $11,496.88 | $11,496.88 |