go back

Custom Fabricated Wheelchair Back Cushion

California 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 $36$6920%20%40%10th90th$339Professionalmedian $407 · 10th–90th $339$1,2300%20%10th90th$407$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
$363.08
Typical High
$1,230.27
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$630.96
Typical High
$758.58
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
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$831.76
Typical High
$1,479.11
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$371.54
Typical High
$371.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$407.38
Typical High
$1,230.27
Providence
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$794.33
Typical High
$794.33