| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $30.72 | $30.72 | $30.72 | |
Kaiser Permanente
| Professional | $25.00 | $25.00 | $25.00 |
Wheelchair accessory, wheelchair seat or back cushion, does not meet specific code criteria or no written coding verification from DME PDAC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $30.72 | $30.72 | $30.72 | |
Kaiser Permanente
| Professional | $25.00 | $25.00 | $25.00 |