Cushioned wheelchair headrest with mounting hardware

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Cushioned headrest

Payers reporting HCPCS E0955

Payer pricing summary

Low

Average

$93

Median

$41

High

$720

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +8 other terms	267	$18	$28	$28	101%	—	$13 – $133
2	Aetna fee schedule · outpatient · +7 other terms	259	$18	$41	$111	274%	—	$9 – $1.5k
3	UnitedHealthcare fee schedule · outpatient · +11 other terms	256	$18	$35	$46	130%	—	$9 – $259
4	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	188	$22	$52	$111	212%	—	$0 – $813
5	WellCare fee schedule · outpatient · +1 other terms	185	$18	$19	$3	17%	—	$17 – $34
6	Devoted fee schedule · outpatient · +1 other terms	165	$18	$18	$2	10%	—	$17 – $25
7	Cigna Healthspring fee schedule · outpatient	111	$18	$18	$1	7%	—	$18 – $24
8	Molina fee schedule · outpatient · +3 other terms	96	$26	$25	$10	38%	—	$15 – $58
9	Cigna fee schedule · outpatient · +3 other terms	77	$19	$30	$50	164%	—	$17 – $521
10	Superior Healthplan fee schedule · outpatient	40	$18	$19	$1	5%	—	$18 – $23
11	Anthem fee schedule · outpatient · +5 other terms	38	$18	$20	$5	24%	—	$17 – $41
12	Clover fee schedule · outpatient	34	$18	$18	$2	9%	—	$17 – $23
13	Bcbs Tx fee schedule · outpatient	31	$22	$23	$7	31%	—	$17 – $85
14	Optum fee schedule · outpatient · +2 other terms	28	$20	$22	$7	32%	—	$17 – $44
15	Kaiser fee schedule · outpatient · +3 other terms	27	$18	$20	$3	14%	—	$17 – $24
16	Oscar fee schedule · outpatient	24	$17	$18	$1	4%	—	$17 – $19
17	Medicare fee schedule · outpatient	18	$20	$21	$3	16%	—	$17 – $24
18	Amerihealth Caritas fee schedule · outpatient	17	$21	$22	$2	7%	—	$20 – $27
19	Caresource fee schedule · outpatient · +3 other terms	15	$18	$18	—	—	—	$18 – $18
20	Wellmark fee schedule · both · +1 other terms	13	$107	$107	$88	82%	—	$15 – $201
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$211	$215	$56	26%	—	$110 – $265
22	Bcbs Nj fee schedule · outpatient	12	$17	$36	$25	68%	—	$17 – $75
23	MultiPlan facility · fee schedule · outpatient · +4 other terms	11	$65	$65	$1	2%	—	$61 – $65
24	Highmark fee schedule · outpatient · +3 other terms	10	$38	$39	$41	107%	—	$8 – $160
25	Medica fee schedule · outpatient · +7 other terms	10	$253	$241	$81	34%	—	$27 – $326

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