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Custom Fabricated Wheelchair Back Cushion

Oklahoma rates for HCPCS E2617

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

Rates data updated October 2026.

How much does Custom Fabricated Wheelchair Back Cushion cost?

$1,820

Typical negotiated rate. In Oklahoma, October 2026.

Insurers have agreed to pay about $1,820 for this service. The price depends on where it is billed: about $1,820 from a physician practice, and about $372 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,820$1,820 to $1,820
FacilityA hospital or hospital-owned outpatient department$372$339 to $372

How much rates vary

Facilitymedian $372 · 10th to 90th $339 to $407Professionalmedian $1,820 · 10th to 90th $347 to $1,820
$100$200$500$1K$2Kfacility $372professional $1,820

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$3,715.35
BCBS Oklahoma
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Cigna
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$416.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$346.74
Typical High
$416.87
Medica
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$371.54
Typical High
$371.54

Where Oklahoma sits

The same service costs 28.8 times more in Oklahoma than in Virginia. 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.

Oklahoma· 1st of 51

$1,820

OK $1,820VA $63.10

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.