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Wheelchair Back Cushion, Planar, 22 in or Wider

Tennessee rates for HCPCS E2621

Positioning wheelchair back cushion, planar back with lateral supports, width 22 in or greater, any height, including any type mounting hardware

Rates data updated October 2026.

How much does Wheelchair Back Cushion, Planar, 22 in or Wider cost?

$355

Typical negotiated rate. In Tennessee, October 2026.

Insurers have agreed to pay about $355 for this service. Most negotiated rates run $302 to $407.

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.

How much rates vary

Facilitymedian $355 · 10th to 90th $355 to $407Professionalmedian $355 · 10th to 90th $234 to $468
$200$500facility $355professional $355

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
$354.81
Median
$354.81
Typical High
$354.81
Aetna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$354.81
Typical High
$380.19
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$257.04
Median
$269.15
Typical High
$281.84
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$416.87
Typical High
$489.78
BCBS Tennessee
Setting
Professional
Modifier
RR · Rental
Typical Low
$41.69
Median
$41.69
Typical High
$52.48
BCBS Tennessee
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$309.03
Median
$309.03
Typical High
$398.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$354.81
Median
$354.81
Typical High
$407.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$354.81
Typical High
$354.81
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Cigna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
United
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$316.23
Typical High
$467.74
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$22.91
Median
$31.62
Typical High
$46.77
United
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$169.82
Median
$239.88
Typical High
$346.74
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
BCBS Tennessee
Setting
Professional
Modifier
KE · Bid item, non-bid base
Typical Low
$478.63
Median
$478.63
Typical High
$524.81

Where Tennessee sits

The same service costs 2.7 times more in Hawaii than in New Mexico. 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.

Tennessee· 40th of 51

$355

HI $741NM $275

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.