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Custom Fabricated Wheelchair Back Cushion

Oregon rates for HCPCS E2617

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

Rates data updated July 2026.

Facilitymedian $933 · 10th–90th $78$9330%20%40%10th$933Professionalmedian $363 · 10th–90th $339$3,7150%50%10th90th$363$100.0$500.0$2.0K$10.0K$50.0K$200.0K$1.0M

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
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
$363.08
Typical High
$3,715.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$354.81
Typical High
$457.09
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$933.25
Typical High
$933.25
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$933.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$363.08
Typical High
$2,691,534.80
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$346.74
Typical High
$346.74