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Custom Fabricated Wheelchair Back Cushion

Arizona 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 $24$3,7150%20%10th90th$339Professionalmedian $513 · 10th–90th $339$3,7150%20%40%10th90th$513$50.0$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
$3,715.35
BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$23.99
Typical High
$40.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$616.60
Typical High
$1,412.54
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
$346.74
Typical High
$758.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$3,715.35
Medica
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08