go back

Custom Fabricated Wheelchair Back Cushion

New York 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 $407$7590%50%90th$407Professionalmedian $661 · 10th–90th $339$8130%20%10th90th$661$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
Professional
Modifier
Global
Typical Low
$338.84
Median
$660.69
Typical High
$724.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$707.95
Typical High
$1,621.81
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
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$54.95
Typical High
$64.57
Univera
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58