Adjustable wheelchair seat 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

Adj skin pro/pos wc cus>=22

Payers reporting HCPCS E2625

Payer pricing summary

Low

$10

Average

$477

Median

$435

High

$1.6k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	266	$482	$419	$177	42%	—	$38 – $2.0k
2	Aetna fee schedule · outpatient · +6 other terms	259	$493	$513	$370	72%	—	$19 – $3.3k
3	UnitedHealthcare fee schedule · outpatient · +9 other terms	256	$494	$367	$181	49%	—	$24 – $621
4	WellCare fee schedule · outpatient · +2 other terms	185	$504	$523	$83	16%	—	$476 – $947
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	181	$504	$555	$234	42%	—	$0 – $1.7k
6	Devoted fee schedule · outpatient · +1 other terms	165	$489	$465	$102	22%	—	$47 – $570
7	Cigna Healthspring fee schedule · outpatient	111	$508	$498	$15	3%	—	$489 – $545
8	Molina fee schedule · outpatient · +3 other terms	96	$609	$539	$307	57%	—	$40 – $1.3k
9	Cigna fee schedule · outpatient · +4 other terms	77	$500	$439	$273	62%	—	$47 – $1.4k
10	Superior Healthplan fee schedule · outpatient	40	$513	$514	$3	1%	—	$513 – $529
11	Anthem fee schedule · outpatient · +5 other terms	38	$489	$345	$184	53%	—	$47 – $519
12	Clover fee schedule · outpatient	34	$508	$498	$20	4%	—	$476 – $529
13	Bcbs Tx fee schedule · outpatient	31	$483	$498	$146	29%	—	$369 – $1.8k
14	Optum fee schedule · outpatient · +2 other terms	28	$489	$375	$246	66%	—	$47 – $1.2k
15	Kaiser fee schedule · outpatient · +2 other terms	27	$494	$333	$185	56%	—	$47 – $530
16	Oscar fee schedule · outpatient	24	$479	$493	$17	3%	—	$479 – $513
17	Medicare fee schedule · outpatient	18	$298	$300	$185	62%	—	$47 – $530
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$587	$584	$11	2%	—	$557 – $605
19	Caresource fee schedule · outpatient · +3 other terms	15	$489	$489	—	—	—	$489 – $489
20	Wellmark fee schedule · both · +1 other terms	13	$244	$243	$199	82%	—	$35 – $443
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$434	$447	$117	26%	—	$220 – $530
22	Bcbs Nj fee schedule · outpatient	12	$476	$1.0k	$697	68%	—	$476 – $2.1k
23	MultiPlan facility · fee schedule · outpatient · +1 other terms	11	$148	$250	$324	129%	—	$148 – $1.3k
24	Highmark fee schedule · outpatient · +3 other terms	10	$305	$316	$259	82%	—	$22 – $1.3k
25	Medica fee schedule · outpatient · +4 other terms	10	$938	$898	$303	34%	—	$76 – $1.2k

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