| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7,874.59 | $7,874.59 | $7,874.59 | |
Cigna
| Facility | $7,100.47 | $7,100.47 | $7,100.47 | |
Cigna
| Professional | $6,035.40 | $7,100.47 | $7,100.47 |
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 | |
Cigna
| Facility | $7,100.47 | $7,100.47 | $7,100.47 | |
Cigna
| Professional | $6,035.40 | $7,100.47 | $7,100.47 |