| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $198.55 | $198.55 | $198.55 | |
Kaiser Permanente
| Professional | $250.02 | $250.02 | $250.02 | |
United
| Professional | $127.49 | $191.23 | $194.41 |
Skin protection and positioning wheelchair seat cushion, adjustable, width less than 22 in, any depth
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $198.55 | $198.55 | $198.55 | |
Kaiser Permanente
| Professional | $250.02 | $250.02 | $250.02 | |
United
| Professional | $127.49 | $191.23 | $194.41 |