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Custom Fabricated Wheelchair Back Cushion

Ohio rates for HCPCS E2617

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

Rates data updated July 2026.

How much does Custom Fabricated Wheelchair Back Cushion cost?

$776

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $776 for this service. The price depends on where it is billed: about $776 from a physician practice, and about $3,715 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$776$479 to $3,715
FacilityA hospital or hospital-owned outpatient department$3,715$407 to $3,715

How much rates vary

Facilitymedian $3,715 · 10th to 90th $407 to $3,715Professionalmedian $776 · 10th to 90th $339 to $3,715
$100$200$500$1K$2K$5Kfacility $3,715professional $776

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$3,715.35
Typical High
$3,715.35
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$630.96
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$416.87
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$426.58
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$416.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$50.12
Typical High
$60.26

Where Ohio sits

The same service costs 11.0 times more in Mississippi than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Ohio· 6th of 51

$776

MS $3,715SC $339

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.