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.
Original text from hospital filings
Wheelchair head rest extensi
Low
$35
Average
$87
Median
$79
High
$307
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
49 payers; the 90th percentile is 2.5× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +6 other terms | 267 | $84 | $76 | $31 | 41% | — | $6 – $340 |
| 2 | Aetna fee schedule · outpatient · +5 other terms | 259 | $87 | $94 | $75 | 80% | — | $3 – $890 |
| 3 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 256 | $86 | $64 | $33 | 51% | — | $4 – $139 |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 185 | $91 | $94 | $13 | 14% | — | $79 – $156 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 178 | $89 | $103 | $41 | 40% | — | $0 – $327 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 165 | $88 | $84 | $19 | 22% | — | $9 – $111 |
| 7 | Cigna Healthspring fee schedule · outpatient | 111 | $91 | $90 | $2 | 3% | — | $85 – $105 |
| 8 | Molina fee schedule · outpatient · +3 other terms | 96 | $106 | $101 | $57 | 56% | — | $8 – $258 |
| 9 | Cigna fee schedule · outpatient · +3 other terms | 70 | $87 | $78 | $47 | 61% | — | $8 – $265 |
| 10 | Superior Healthplan fee schedule · outpatient | 40 | $93 | $93 | $2 | 2% | — | $93 – $103 |
| 11 | Anthem fee schedule · outpatient · +5 other terms | 38 | $87 | $64 | $34 | 53% | — | $9 – $100 |
| 12 | Clover fee schedule · outpatient | 34 | $88 | $86 | $7 | 8% | — | $79 – $98 |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $91 | $95 | $28 | 30% | — | $70 – $348 |
| 14 | Optum fee schedule · outpatient · +2 other terms | 28 | $85 | $70 | $45 | 65% | — | $9 – $221 |
| 15 | Kaiser fee schedule · outpatient · +3 other terms | 27 | $92 | $64 | $35 | 55% | — | $9 – $100 |
| 16 | Oscar fee schedule · outpatient | 24 | $87 | $88 | $1 | 1% | — | $87 – $89 |
| 17 | Medicare fee schedule · outpatient | 18 | $57 | $56 | $35 | 62% | — | $9 – $100 |
| 18 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $102 | $102 | $4 | 4% | — | $97 – $112 |
| 19 | Caresource fee schedule · outpatient · +3 other terms | 15 | $85 | $85 | — | — | — | $85 – $85 |
| 20 | Wellmark fee schedule · both · +1 other terms | 13 | $48 | $47 | $39 | 82% | — | $6 – $87 |
| 21 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $85 | $87 | $23 | 26% | — | $43 – $103 |
| 22 | Bcbs Nj fee schedule · outpatient | 12 | $79 | $170 | $115 | 68% | — | $79 – $348 |
| 23 | MultiPlan facility · fee schedule · outpatient · +2 other terms | 11 | $27 | $47 | $64 | 135% | — | $27 – $249 |
| 24 | Highmark fee schedule · outpatient · +3 other terms | 10 | $53 | $55 | $45 | 82% | — | $4 – $217 |
| 25 | Medica fee schedule · outpatient · +4 other terms | 10 | $175 | $168 | $57 | 34% | — | $14 – $227 |
← Hospitals reporting HCPCS E0966 · Snapshot 20261113T090226Z-3ce6c0b8