go back

Custom Fabricated Wheelchair Back Cushion

Washington 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%50%10th$933Professionalmedian $339 · 10th–90th $339$3,7150%50%90th$339$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
$3,715.35
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
$346.74
Typical High
$407.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$72.44
Typical High
$93.33
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