Replacement cover for 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

Replace cover w/c seat cush

Payers reporting HCPCS E2619

Payer pricing summary

Low

Average

$65

Median

$58

High

$299

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +7 other terms	267	$60	$52	$22	43%	—	$5 – $245
2	Aetna fee schedule · outpatient · +7 other terms	259	$62	$64	$46	72%	—	$2 – $406
3	UnitedHealthcare fee schedule · outpatient · +10 other terms	256	$62	$45	$23	51%	—	$3 – $77
4	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	190	$63	$69	$29	42%	—	$0 – $203
5	WellCare fee schedule · outpatient · +2 other terms	185	$63	$65	$10	16%	—	$60 – $119
6	Devoted fee schedule · outpatient · +1 other terms	165	$61	$58	$13	22%	—	$6 – $70
7	Cigna Healthspring fee schedule · outpatient	111	$64	$62	$2	3%	—	$61 – $67
8	Molina fee schedule · outpatient · +3 other terms	96	$76	$67	$38	57%	—	$5 – $163
9	Cigna fee schedule · outpatient · +3 other terms	77	$63	$54	$34	62%	—	$6 – $177
10	Superior Healthplan fee schedule · outpatient	40	$64	$64	$0	0%	—	$64 – $65
11	Anthem fee schedule · outpatient · +5 other terms	38	$61	$43	$23	53%	—	$6 – $64
12	Clover fee schedule · outpatient	34	$64	$62	$2	4%	—	$60 – $65
13	Bcbs Tx fee schedule · outpatient	31	$60	$61	$18	29%	—	$45 – $225
14	Optum fee schedule · outpatient · +2 other terms	28	$61	$46	$31	66%	—	$6 – $153
15	Kaiser fee schedule · outpatient · +2 other terms	27	$62	$41	$23	56%	—	$6 – $65
16	Oscar fee schedule · outpatient	24	$60	$62	$2	3%	—	$60 – $64
17	Medicare fee schedule · outpatient	18	$37	$37	$23	62%	—	$6 – $65
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$74	$73	$1	2%	—	$70 – $75
19	Caresource fee schedule · outpatient · +3 other terms	15	$61	$61	—	—	—	$61 – $61
20	Wellmark fee schedule · both · +1 other terms	13	$30	$30	$25	82%	—	$4 – $55
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$54	$55	$14	26%	—	$27 – $65
22	Bcbs Nj fee schedule · outpatient	12	$60	$129	$87	68%	—	$60 – $264
23	MultiPlan facility · fee schedule · outpatient · +3 other terms	11	$18	$31	$39	128%	—	$18 – $154
24	Highmark fee schedule · outpatient · +3 other terms	10	$38	$39	$32	82%	—	$3 – $156
25	Medica fee schedule · outpatient · +6 other terms	10	$118	$113	$38	34%	—	$10 – $152

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