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Custom Fabricated Wheelchair Back Cushion

Nationwide rates for HCPCS E2617

Custom fabricated wheelchair back cushion, any size, including any type mounting hardware

Rates data updated July 2026.

Facilitymedian $372 · 10th–90th $78$9330%20%10th90th$372Professionalmedian $339 · 10th–90th $339$2,9510%50%90th$339$20.0$200.0$2.0K$20.0K$200.0K$2.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$3,630.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$630.96
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$407.38
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$794.33
Typical High
$794.33