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Wheelchair Back Cushion, General Use, 22 in or Wider

Illinois rates for HCPCS E2612

General use wheelchair back cushion, width 22 in or greater, any height, including any type mounting hardware

Rates data updated October 2026.

How much does Wheelchair Back Cushion, General Use, 22 in or Wider cost?

$200

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $263 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$162$28.84 to $245
FacilityA hospital or hospital-owned outpatient department$263$245 to $2,138

How much rates vary

Facilitymedian $263 · 10th to 90th $229 to $3,981Professionalmedian $162 · 10th to 90th $29 to $309
$50$100$200$500$1K$2K$5Kfacility $263professional $162

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$229.09
Typical High
$380.19
Aetna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$229.09
Typical High
$338.84
Aetna
Setting
Professional
Modifier
RR · Rental
Typical Low
$16.22
Median
$30.20
Typical High
$38.02
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$120.23
Median
$169.82
Typical High
$234.42
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$2,290.87
Typical High
$4,677.35
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$323.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$245.47
Typical High
$302.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$37.15
Typical High
$45.71
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$407.38
Typical High
$407.38
United
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$239.88
Typical High
$467.74
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$18.62
Median
$23.44
Typical High
$46.77
United
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$141.25
Median
$177.83
Typical High
$346.74

Where Illinois sits

The same service costs 2.7 times more in Hawaii than in Illinois. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 51st of 51

$200

HI $537IL $200

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.