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Custom Fabricated Wheelchair Back Cushion

Illinois rates for HCPCS E2617

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

Rates data updated July 2026.

Facilitymedian $407 · 10th–90th $339$4170%50%10th90th$407Professionalmedian $339 · 10th–90th $339$3,6310%50%90th$339$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
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
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$660.69
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,715.35
Typical High
$4,265.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33