Wheelchair back cushion, 22 inches or wider

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 E2612

Payer pricing summary

Low

$10

Average

$397

Median

$364

High

$1.3k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +5 other terms	267	$374	$339	$149	44%	—	$27 – $1.6k
2	Aetna fee schedule · outpatient · +5 other terms	259	$389	$435	$346	80%	—	$19 – $3.4k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$379	$307	$165	54%	—	$19 – $611
4	WellCare fee schedule · outpatient · +2 other terms	185	$389	$401	$62	15%	—	$337 – $671
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	181	$408	$498	$231	46%	—	$0 – $1.7k
6	Devoted fee schedule · outpatient · +1 other terms	165	$384	$365	$85	23%	—	$36 – $525
7	Cigna Healthspring fee schedule · outpatient	111	$404	$383	$29	8%	—	$365 – $501
8	Molina fee schedule · outpatient · +3 other terms	96	$488	$433	$243	56%	—	$31 – $1.2k
9	Cigna fee schedule · outpatient · +3 other terms	77	$400	$382	$245	64%	—	$36 – $1.1k
10	Superior Healthplan fee schedule · outpatient	40	$383	$387	$18	5%	—	$383 – $487
11	Anthem fee schedule · outpatient · +5 other terms	38	$378	$293	$159	54%	—	$36 – $509
12	Clover fee schedule · outpatient	34	$383	$378	$44	12%	—	$337 – $487
13	Bcbs Tx fee schedule · outpatient	31	$453	$473	$147	31%	—	$356 – $1.8k
14	Optum fee schedule · outpatient · +2 other terms	28	$389	$320	$199	62%	—	$36 – $913
15	Kaiser fee schedule · outpatient · +2 other terms	27	$382	$289	$164	57%	—	$36 – $509
16	Oscar fee schedule · outpatient	24	$358	$379	$25	7%	—	$358 – $408
17	Medicare fee schedule · outpatient	18	$265	$268	$172	64%	—	$36 – $509
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$466	$473	$27	6%	—	$443 – $557
19	Caresource fee schedule · outpatient · +3 other terms	15	$389	$389	—	—	—	$389 – $389
20	Wellmark fee schedule · both · +1 other terms	13	$225	$223	$183	82%	—	$27 – $408
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$400	$414	$110	27%	—	$202 – $509
22	Bcbs Nj fee schedule · outpatient	12	$337	$728	$494	68%	—	$337 – $1.5k
23	MultiPlan facility · fee schedule · outpatient · +1 other terms	11	$136	$239	$327	136%	—	$136 – $1.3k
24	Highmark fee schedule · outpatient · +3 other terms	10	$275	$284	$237	83%	—	$16 – $1.2k
25	Medica fee schedule · outpatient · +4 other terms	10	$732	$699	$237	34%	—	$57 – $945

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