Wheelchair back cushion, 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

Gen use back cush wdth <22in

Payers reporting HCPCS E2611

Payer pricing summary

Low

Average

$228

Median

$198

High

$619

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +5 other terms	267	$187	$190	$92	49%	—	$14 – $814
2	Aetna fee schedule · outpatient · +5 other terms	259	$204	$261	$229	88%	—	$14 – $1.9k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$189	$185	$110	59%	—	$11 – $452
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	188	$256	$331	$181	55%	—	$0 – $1.2k
5	WellCare fee schedule · outpatient · +2 other terms	185	$196	$209	$44	21%	—	$180 – $392
6	Devoted fee schedule · outpatient · +1 other terms	165	$194	$196	$59	30%	—	$18 – $376
7	Cigna Healthspring fee schedule · outpatient	111	$212	$198	$27	13%	—	$185 – $320
8	Molina fee schedule · outpatient · +3 other terms	96	$272	$245	$145	59%	—	$15 – $777
9	Cigna fee schedule · outpatient · +3 other terms	77	$210	$239	$166	70%	—	$18 – $688
10	Superior Healthplan fee schedule · outpatient	40	$194	$198	$20	10%	—	$194 – $311
11	Anthem fee schedule · outpatient · +5 other terms	38	$186	$174	$108	62%	—	$18 – $376
12	Clover fee schedule · outpatient	34	$194	$204	$34	17%	—	$184 – $311
13	Bcbs Tx fee schedule · outpatient	31	$322	$340	$118	35%	—	$180 – $1.3k
14	Optum fee schedule · outpatient · +2 other terms	28	$204	$192	$124	65%	—	$18 – $462
15	Kaiser fee schedule · outpatient · +2 other terms	27	$188	$175	$112	64%	—	$18 – $376
16	Oscar fee schedule · outpatient	24	$181	$195	$16	8%	—	$181 – $214
17	Medicare fee schedule · outpatient	18	$168	$171	$123	72%	—	$18 – $376
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$244	$255	$34	13%	—	$232 – $356
19	Caresource fee schedule · outpatient · +3 other terms	15	$204	$204	—	—	—	$204 – $204
20	Wellmark fee schedule · both · +1 other terms	13	$144	$143	$117	82%	—	$19 – $261
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$257	$271	$77	28%	—	$130 – $376
22	Bcbs Nj fee schedule · outpatient	12	$184	$396	$269	68%	—	$184 – $813
23	MultiPlan facility · fee schedule · outpatient · +1 other terms	11	$87	$165	$245	149%	—	$87 – $940
24	Highmark fee schedule · outpatient · +3 other terms	10	$181	$187	$161	86%	—	$9 – $902
25	Medica fee schedule · outpatient · +4 other terms	10	$353	$338	$114	34%	—	$29 – $456

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