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Custom Fabricated Wheelchair Back Cushion

Alaska rates for HCPCS E2617

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

Rates data updated July 2026.

Facilitymedian $339 · 10th–90th $339$3,7150%50%90th$339Professionalmedian $339 · 10th–90th $339$3390%50%$339$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$407.38
Typical High
$416.87
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$3,715.35
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$3,715.35
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$346.74
Typical High
$436.52