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Custom Fabricated Wheelchair Back Cushion

North Carolina rates for HCPCS E2617

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

Rates data updated July 2026.

Facilitymedian $347 · 10th–90th $339$4070%50%10th90th$347Professionalmedian $339 · 10th–90th $339$3470%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
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
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
$407.38
Typical High
$758.58
Medcost
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$371.54