Wheelchair seat cushion for skin protection, under 22 inches wide

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

Skin protect wc cus wd <22in

Payers reporting HCPCS E2603

Payer pricing summary

Low

Average

$136

Median

$125

High

$440

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	267	$124	$116	$51	44%	—	$9 – $527
2	Aetna fee schedule · outpatient · +8 other terms	259	$132	$150	$118	79%	—	$7 – $1.1k
3	UnitedHealthcare fee schedule · outpatient · +10 other terms	256	$128	$106	$58	54%	—	$6 – $219
4	WellCare fee schedule · outpatient · +2 other terms	185	$132	$136	$21	15%	—	$112 – $223
5	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	181	$138	$175	$84	48%	—	$0 – $598
6	Devoted fee schedule · outpatient · +1 other terms	165	$130	$125	$30	24%	—	$12 – $183
7	Cigna Healthspring fee schedule · outpatient	111	$137	$130	$11	8%	—	$124 – $175
8	Molina fee schedule · outpatient · +3 other terms	96	$170	$149	$84	56%	—	$10 – $424
9	Cigna fee schedule · outpatient · +6 other terms	77	$136	$133	$86	65%	—	$12 – $379
10	Superior Healthplan fee schedule · outpatient	40	$130	$131	$7	5%	—	$130 – $170
11	Anthem fee schedule · outpatient · +5 other terms	38	$126	$101	$56	55%	—	$12 – $183
12	Clover fee schedule · outpatient	34	$130	$128	$17	13%	—	$112 – $170
13	Bcbs Tx fee schedule · outpatient	31	$161	$169	$53	32%	—	$121 – $637
14	Optum fee schedule · outpatient · +4 other terms	28	$132	$111	$69	62%	—	$12 – $309
15	Kaiser fee schedule · outpatient · +2 other terms	27	$127	$100	$57	58%	—	$12 – $183
16	Oscar fee schedule · outpatient · +1 other terms	24	$121	$128	$8	7%	—	$121 – $138
17	Medicare fee schedule · outpatient	18	$92	$93	$61	65%	—	$12 – $183
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$158	$161	$11	7%	—	$150 – $194
19	Caresource fee schedule · outpatient · +3 other terms	15	$132	$132	—	—	—	$132 – $132
20	Wellmark fee schedule · both · +1 other terms	13	$78	$78	$64	82%	—	$9 – $143
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$140	$145	$39	27%	—	$71 – $183
22	Bcbs Nj fee schedule · outpatient	12	$112	$242	$164	68%	—	$112 – $496
23	MultiPlan facility · fee schedule · outpatient · +3 other terms	11	$48	$85	$117	139%	—	$48 – $456
24	Highmark fee schedule · outpatient · +3 other terms	10	$96	$100	$83	84%	—	$5 – $438
25	Medica fee schedule · outpatient · +4 other terms	10	$251	$240	$82	34%	—	$19 – $324

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