| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7,762.47 | $13,489.63 | $13,489.63 | |
Cigna
| Facility | $11,748.98 | $11,748.98 | $11,748.98 | |
Cigna
| Professional | $9,772.37 | $11,748.98 | $12,022.64 |
Power wheelchair, group 5 pediatric, multiple 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 | $7,762.47 | $13,489.63 | $13,489.63 | |
Cigna
| Facility | $11,748.98 | $11,748.98 | $11,748.98 | |
Cigna
| Professional | $9,772.37 | $11,748.98 | $12,022.64 |