| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.06 | $113.31 | $115.55 | |
Cigna
| Facility | $115.51 | $115.51 | $151.61 | |
Cigna
| Professional | $98.18 | $98.18 | $151.61 | |
United
| Professional | $84.08 | $103.04 | $173.34 |
Skin protection wheelchair seat cushion, width 22 in or greater, any depth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.06 | $113.31 | $115.55 | |
Cigna
| Facility | $115.51 | $115.51 | $151.61 | |
Cigna
| Professional | $98.18 | $98.18 | $151.61 | |
United
| Professional | $84.08 | $103.04 | $173.34 |