| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $501.19 | $501.19 | $812.83 | |
BCBS
| Facility | $208.93 | $208.93 | $208.93 | |
Cigna
| Facility | $389.05 | $389.05 | $398.11 | |
Cigna
| Professional | $331.13 | $389.05 | $616.60 |
Custom fabricated wheelchair seat cushion, any size
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $501.19 | $501.19 | $812.83 | |
BCBS
| Facility | $208.93 | $208.93 | $208.93 | |
Cigna
| Facility | $389.05 | $389.05 | $398.11 | |
Cigna
| Professional | $331.13 | $389.05 | $616.60 |