Wheelchair seat cushion with skin protection, adjustable, 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

Adj skin pro wc cus wd>=22in

Payers reporting HCPCS E2623

Payer pricing summary

Low

$10

Average

$476

Median

$436

High

$1.7k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +5 other terms	266	$484	$421	$178	42%	—	$38 – $2.0k
2	Aetna fee schedule · outpatient · +5 other terms	259	$496	$514	$370	72%	—	$19 – $3.3k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$497	$368	$182	49%	—	$24 – $622
4	WellCare fee schedule · outpatient · +2 other terms	185	$506	$525	$83	16%	—	$479 – $953
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	181	$505	$556	$234	42%	—	$0 – $1.7k
6	Devoted fee schedule · outpatient · +1 other terms	165	$492	$467	$102	22%	—	$47 – $571
7	Cigna Healthspring fee schedule · outpatient	111	$511	$501	$15	3%	—	$492 – $545
8	Molina fee schedule · outpatient · +3 other terms	96	$612	$541	$309	57%	—	$41 – $1.3k
9	Cigna fee schedule · outpatient · +3 other terms	77	$503	$440	$273	62%	—	$47 – $1.4k
10	Superior Healthplan fee schedule · outpatient	40	$516	$517	$2	0%	—	$516 – $530
11	Anthem fee schedule · outpatient · +5 other terms	38	$492	$346	$184	53%	—	$47 – $520
12	Clover fee schedule · outpatient	34	$511	$500	$19	4%	—	$479 – $530
13	Bcbs Tx fee schedule · outpatient	31	$484	$499	$146	29%	—	$369 – $1.8k
14	Optum fee schedule · outpatient · +2 other terms	28	$492	$376	$247	66%	—	$47 – $1.2k
15	Kaiser fee schedule · outpatient · +2 other terms	27	$497	$334	$185	56%	—	$47 – $530
16	Oscar fee schedule · outpatient	24	$482	$496	$17	3%	—	$482 – $516
17	Medicare fee schedule · outpatient	18	$298	$300	$185	62%	—	$47 – $530
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$590	$587	$11	2%	—	$560 – $606
19	Caresource fee schedule · outpatient · +3 other terms	15	$492	$492	—	—	—	$492 – $492
20	Wellmark fee schedule · both · +1 other terms	13	$244	$243	$199	82%	—	$35 – $444
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$435	$447	$117	26%	—	$220 – $530
22	Bcbs Nj fee schedule · outpatient	12	$479	$1.0k	$701	68%	—	$479 – $2.1k
23	MultiPlan facility · fee schedule · outpatient · +1 other terms	11	$148	$250	$322	129%	—	$148 – $1.3k
24	Highmark fee schedule · outpatient · +3 other terms	10	$305	$316	$260	82%	—	$22 – $1.3k
25	Medica fee schedule · outpatient · +4 other terms	10	$943	$903	$304	34%	—	$76 – $1.2k

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