Wheelchair back cushion with lateral supports

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

WC planar back cush wd <22in

Payers reporting HCPCS E2620

Payer pricing summary

Low

$13

Average

$494

Median

$452

High

$1.6k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +5 other terms	267	$467	$426	$186	44%	—	$33 – $1.9k
2	Aetna fee schedule · outpatient · +5 other terms	259	$478	$548	$430	79%	—	$25 – $3.9k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$473	$387	$208	54%	—	$24 – $736
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	190	$509	$639	$306	48%	—	$0 – $2.2k
5	WellCare fee schedule · outpatient · +2 other terms	185	$489	$504	$76	15%	—	$421 – $837
6	Devoted fee schedule · outpatient · +1 other terms	165	$478	$461	$108	23%	—	$45 – $666
7	Cigna Healthspring fee schedule · outpatient	111	$497	$481	$34	7%	—	$463 – $637
8	Molina fee schedule · outpatient · +3 other terms	96	$617	$550	$309	56%	—	$39 – $1.5k
9	Cigna fee schedule · outpatient · +3 other terms	77	$492	$483	$313	65%	—	$45 – $1.3k
10	Superior Healthplan fee schedule · outpatient	40	$487	$491	$23	5%	—	$487 – $619
11	Anthem fee schedule · outpatient · +5 other terms	38	$475	$372	$203	55%	—	$45 – $660
12	Clover fee schedule · outpatient	34	$487	$472	$56	12%	—	$421 – $619
13	Bcbs Tx fee schedule · outpatient	31	$585	$612	$192	31%	—	$451 – $2.3k
14	Optum fee schedule · outpatient · +2 other terms	28	$478	$406	$254	63%	—	$45 – $1.2k
15	Kaiser fee schedule · outpatient · +2 other terms	27	$479	$368	$209	57%	—	$45 – $660
16	Oscar fee schedule · outpatient	24	$454	$474	$24	5%	—	$454 – $502
17	Medicare fee schedule · outpatient	18	$339	$343	$221	64%	—	$45 – $660
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$574	$584	$40	7%	—	$545 – $707
19	Caresource fee schedule · outpatient · +3 other terms	15	$478	$478	—	—	—	$478 – $478
20	Wellmark fee schedule · both · +1 other terms	13	$285	$285	$233	82%	—	$52 – $530
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$509	$527	$141	27%	—	$257 – $660
22	Bcbs Nj fee schedule · outpatient	12	$421	$907	$616	68%	—	$421 – $1.9k
23	MultiPlan facility · fee schedule · outpatient · +1 other terms	11	$173	$307	$424	138%	—	$173 – $1.6k
24	Highmark fee schedule · outpatient · +3 other terms	10	$351	$363	$303	83%	—	$20 – $1.6k
25	Medica fee schedule · outpatient · +4 other terms	10	$895	$857	$289	34%	—	$72 – $1.2k

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