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Custom Fabricated Wheelchair Back Cushion

Texas 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$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. 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
$63.10
Median
$63.10
Typical High
$63.10
Christus
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
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
$407.38
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$371.54
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$812.83
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$81.28
Providence
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$416.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$416.87
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96