Wheelchair seat cushion for skin protection, 22 inches wide or more

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 E2604

Payer pricing summary

Low

Average

$182

Median

$167

High

$610

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +5 other terms	267	$178	$160	$68	43%	—	$12 – $721
2	Aetna fee schedule · outpatient · +5 other terms	259	$182	$203	$157	77%	—	$9 – $1.5k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$182	$143	$76	53%	—	$9 – $273
4	WellCare fee schedule · outpatient · +2 other terms	185	$186	$194	$27	14%	—	$161 – $321
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	181	$187	$227	$102	45%	—	$0 – $744
6	Devoted fee schedule · outpatient · +1 other terms	165	$180	$176	$39	22%	—	$18 – $241
7	Cigna Healthspring fee schedule · outpatient	111	$191	$186	$9	5%	—	$180 – $230
8	Molina fee schedule · outpatient · +3 other terms	96	$226	$208	$117	56%	—	$16 – $559
9	Cigna fee schedule · outpatient · +3 other terms	77	$186	$174	$114	66%	—	$17 – $526
10	Superior Healthplan fee schedule · outpatient	40	$189	$190	$6	3%	—	$189 – $224
11	Anthem fee schedule · outpatient · +5 other terms	38	$186	$139	$74	53%	—	$18 – $227
12	Clover fee schedule · outpatient	34	$188	$180	$19	10%	—	$161 – $224
13	Bcbs Tx fee schedule · outpatient	31	$205	$213	$64	30%	—	$160 – $792
14	Optum fee schedule · outpatient · +2 other terms	28	$180	$151	$95	63%	—	$18 – $451
15	Kaiser fee schedule · outpatient · +2 other terms	27	$193	$138	$77	56%	—	$18 – $227
16	Oscar fee schedule · outpatient	24	$177	$182	$6	3%	—	$177 – $189
17	Medicare fee schedule · outpatient	18	$125	$126	$79	63%	—	$18 – $227
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$216	$219	$12	5%	—	$206 – $256
19	Caresource fee schedule · outpatient · +3 other terms	15	$180	$180	—	—	—	$180 – $180
20	Wellmark fee schedule · both · +1 other terms	13	$103	$102	$84	82%	—	$13 – $188
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$184	$189	$50	26%	—	$93 – $227
22	Bcbs Nj fee schedule · outpatient	12	$161	$348	$236	68%	—	$161 – $713
23	MultiPlan facility · fee schedule · outpatient · +1 other terms	11	$63	$108	$145	134%	—	$63 – $567
24	Highmark fee schedule · outpatient · +3 other terms	10	$125	$130	$108	83%	—	$8 – $544
25	Medica fee schedule · outpatient · +4 other terms	10	$349	$334	$113	34%	—	$28 – $451

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