One-arm drive attachment for manual wheelchair

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

Whlchr att- conv 1 arm drive

Payers reporting HCPCS E0958

Payer pricing summary

Low

Average

$163

Median

$89

High

$934

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	267	$53	$78	$80	103%	—	$37 – $386
2	Aetna fee schedule · outpatient · +5 other terms	259	$51	$109	$298	275%	—	$20 – $3.8k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$51	$88	$108	123%	—	$24 – $641
4	WellCare fee schedule · outpatient · +1 other terms	185	$52	$54	$8	16%	—	$48 – $96
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	179	$54	$129	$270	210%	—	$0 – $2.0k
6	Devoted fee schedule · outpatient · +1 other terms	165	$51	$52	$3	6%	—	$48 – $64
7	Cigna Healthspring fee schedule · outpatient	111	$53	$52	$2	4%	—	$50 – $64
8	Molina fee schedule · outpatient · +3 other terms	96	$75	$71	$27	38%	—	$42 – $148
9	Cigna fee schedule · outpatient · +3 other terms	77	$54	$83	$160	192%	—	$48 – $1.6k
10	Superior Healthplan fee schedule · outpatient	40	$53	$54	$1	2%	—	$53 – $59
11	Anthem fee schedule · outpatient · +5 other terms	38	$52	$55	$11	20%	—	$48 – $104
12	Clover fee schedule · outpatient	34	$53	$52	$4	7%	—	$48 – $61
13	Bcbs Tx fee schedule · outpatient	31	$51	$53	$16	29%	—	$39 – $195
14	Optum fee schedule · outpatient · +2 other terms	28	$54	$59	$20	34%	—	$48 – $127
15	Kaiser fee schedule · outpatient · +3 other terms	27	$51	$53	$5	9%	—	$48 – $61
16	Oscar fee schedule · outpatient	24	$50	$51	$2	3%	—	$50 – $53
17	Medicare fee schedule · outpatient	18	$54	$54	$6	10%	—	$48 – $61
18	Amerihealth Caritas fee schedule · outpatient	17	$61	$61	$2	4%	—	$58 – $67
19	Caresource fee schedule · outpatient · +3 other terms	15	$51	$51	—	—	—	$51 – $51
20	Wellmark fee schedule · both · +1 other terms	13	$286	$285	$233	82%	—	$37 – $519
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$513	$523	$135	26%	—	$259 – $624
22	Bcbs Nj fee schedule · outpatient	12	$48	$104	$71	68%	—	$48 – $214
23	MultiPlan facility · fee schedule · outpatient · +2 other terms	11	$170	$169	$5	3%	—	$152 – $170
24	Highmark fee schedule · outpatient · +3 other terms	10	$92	$94	$109	116%	—	$23 – $417
25	Medica fee schedule · outpatient · +4 other terms	10	$536	$512	$170	33%	—	$79 – $692

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