| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $336.05 | $3,694.91 | $3,694.91 | |
Cigna
| Facility | $405.00 | $405.00 | $405.00 | |
Cigna
| Professional | $405.00 | $405.00 | $405.00 |
Custom fabricated wheelchair back cushion, any size, including any type mounting hardware
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $336.05 | $3,694.91 | $3,694.91 | |
Cigna
| Facility | $405.00 | $405.00 | $405.00 | |
Cigna
| Professional | $405.00 | $405.00 | $405.00 |