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Custom Fabricated Wheelchair Back Cushion

Iowa 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$5750%50%90th$339Professionalmedian $339 · 10th–90th $339$3,7150%50%90th$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
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$3,715.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$758.58
Typical High
$933.25
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,715.35
Typical High
$4,897.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$371.54
Typical High
$1,202.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$707.95
Typical High
$707.95