Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Custom fab w/c back cushion
Boulder, CO
See all hospitals reporting HCPCS E2617 →Price type
Boulder Community Health’s median price of $450 is 40% below the median hospital's median price ($744), higher than 29% of the 190 hospitals reporting HCPCS E2617. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 4 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Anthem commercial professional · fee schedule · both | $450 | $370 | $228 | 62% | — | $60 – $600 |
| 2 | Anthem managed care professional · fee schedule · both | $450 | $370 | $228 | 62% | — | $60 – $600 |
| 3 | Aetna medicare advantage professional · fee schedule · both | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 4 | Aetna commercial professional · fee schedule · both | $5.3k | $5.3k | $1.6k | 31% | — | $3.7k – $6.9k |
Last updated: Sep 16, 2026
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