Custom-made wheelchair cushion

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

CUSHION WHEELCHAIR--2180WCIX120

Payers reporting HCPCS E2609

Payer pricing summary

Low

Average

$817

Median

$681

High

$2.5k

Payer rate distribution

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#
1	Blue Cross Blue Shield facility · fee schedule · outpatient · +6 other terms	22	$2.1k	$2.0k	$1.6k	79%	—	$87 – $5.5k
2	Aetna fee schedule · outpatient · +7 other terms	19	$503	$1.7k	$2.5k	143%	—	$446 – $9.4k
3	Anthem facility · case rate · outpatient · +3 other terms	15	$607	$663	$156	23%	—	$413 – $1.0k
4	Caresource facility · case rate · outpatient · +1 other terms	15	$618	$664	$152	23%	—	$413 – $1.0k
5	Molina facility · case rate · outpatient · +1 other terms	15	$607	$664	$154	23%	—	$425 – $1.0k
6	UnitedHealthcare facility · case rate · outpatient · +4 other terms	15	$618	$672	$158	23%	—	$425 – $1.0k
7	Wellmark fee schedule · both · +1 other terms	13	$396	$422	$391	93%	—	$72 – $2.3k
8	Optum facility · case rate · outpatient	11	$572	$628	$140	22%	—	$516 – $931
9	Cigna professional · fee schedule · outpatient · +2 other terms	10	$332	$326	$14	4%	—	$293 – $332
10	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$518	$518	—	—	—	$518 – $518
11	Humana fee schedule · inpatient · +4 other terms	5	$503	$503	—	—	—	$503 – $503
12	First Health professional · fee schedule · both	3	$554	$554	—	—	—	$554 – $554
13	MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	3	$89	$972	$1.0k	105%	—	$69 – $2.7k
14	Devoted facility · percent of total billed charges · inpatientfrom % of charges	2	$69	$69	—	—	—	$69 – $69
15	Bcbs Il professional · fee schedule · both	1	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
16	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
17	Bcbs Nc facility · fee schedule · outpatient	1	$2.5k	$2.5k	—	—	—	$2.5k – $2.5k
18	Bcbs Vt professional · fee schedule · outpatient	1	$646	$646	—	—	—	$646 – $646
19	Cigna Healthspring facility · percent of total billed charges · outpatientfrom % of charges	1	$64	$64	—	—	—	$64 – $64
20	Medica facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$974	$974	$797	82%	—	$140 – $2.4k
21	Ucare facility · percent of total billed charges · outpatientfrom % of charges	1	$598	$598	$478	80%	—	$99 – $1.3k