Adjustable wheelchair seat cushion for skin protection

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

Adj skin pro w/c cus wd<22in

Payers reporting HCPCS E2622

Payer pricing summary

Low

Average

$370

Median

$340

High

$1.3k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	266	$383	$332	$140	42%	—	$30 – $1.6k
2	Aetna fee schedule · outpatient · +6 other terms	259	$392	$406	$292	72%	—	$15 – $2.6k
3	UnitedHealthcare fee schedule · outpatient · +9 other terms	256	$393	$290	$143	49%	—	$19 – $490
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	188	$400	$441	$169	38%	—	$0 – $1.3k
5	WellCare fee schedule · outpatient · +2 other terms	185	$400	$415	$66	16%	—	$379 – $753
6	Devoted fee schedule · outpatient · +1 other terms	165	$389	$369	$81	22%	—	$37 – $450
7	Cigna Healthspring fee schedule · outpatient	111	$404	$396	$12	3%	—	$389 – $430
8	Molina fee schedule · outpatient · +3 other terms	96	$483	$427	$244	57%	—	$32 – $1.0k
9	Cigna fee schedule · outpatient · +4 other terms	77	$400	$350	$217	62%	—	$37 – $1.1k
10	Superior Healthplan fee schedule · outpatient	40	$408	$408	$2	0%	—	$408 – $418
11	Anthem fee schedule · outpatient · +5 other terms	38	$389	$273	$145	53%	—	$37 – $410
12	Clover fee schedule · outpatient	34	$404	$396	$15	4%	—	$379 – $418
13	Bcbs Tx fee schedule · outpatient	31	$382	$393	$115	29%	—	$291 – $1.4k
14	Optum fee schedule · outpatient · +2 other terms	28	$389	$296	$195	66%	—	$37 – $972
15	Kaiser fee schedule · outpatient · +2 other terms	27	$393	$263	$146	56%	—	$37 – $418
16	Oscar fee schedule · outpatient	24	$381	$392	$13	3%	—	$381 – $408
17	Medicare fee schedule · outpatient	18	$235	$237	$146	62%	—	$37 – $418
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$467	$464	$9	2%	—	$443 – $478
19	Caresource fee schedule · outpatient · +3 other terms	15	$389	$389	—	—	—	$389 – $389
20	Wellmark fee schedule · both · +1 other terms	13	$192	$192	$157	82%	—	$34 – $350
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$343	$352	$92	26%	—	$173 – $418
22	Bcbs Nj fee schedule · outpatient	12	$379	$817	$554	68%	—	$379 – $1.7k
23	MultiPlan facility · fee schedule · outpatient · +2 other terms	11	$117	$197	$253	129%	—	$117 – $998
24	Highmark fee schedule · outpatient · +3 other terms	10	$241	$249	$205	82%	—	$18 – $1.0k
25	Medica fee schedule · outpatient · +4 other terms	10	$746	$714	$241	34%	—	$60 – $963

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