Replacement hand rims 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

Man wc rim/projection rep ea

Payers reporting HCPCS E0967

Payer pricing summary

Low

Average

$84

Median

$79

High

$192

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +6 other terms	267	$87	$77	$32	42%	—	$6 – $354
2	Aetna fee schedule · outpatient · +5 other terms	259	$89	$92	$64	70%	—	$3 – $607
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$89	$66	$33	50%	—	$4 – $115
4	WellCare fee schedule · outpatient · +2 other terms	185	$92	$94	$15	16%	—	$85 – $168
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	179	$90	$98	$37	38%	—	$0 – $301
6	Devoted fee schedule · outpatient · +1 other terms	165	$89	$84	$18	22%	—	$9 – $106
7	Cigna Healthspring fee schedule · outpatient	111	$92	$90	$3	4%	—	$88 – $101
8	Molina fee schedule · outpatient · +3 other terms	96	$110	$100	$56	55%	—	$8 – $245
9	Cigna fee schedule · outpatient · +3 other terms	77	$91	$78	$49	63%	—	$9 – $262
10	Superior Healthplan fee schedule · outpatient	40	$92	$92	$1	1%	—	$92 – $98
11	Anthem fee schedule · outpatient · +5 other terms	38	$91	$63	$34	53%	—	$9 – $96
12	Clover fee schedule · outpatient	34	$92	$89	$5	5%	—	$85 – $98
13	Bcbs Tx fee schedule · outpatient	31	$85	$88	$26	29%	—	$65 – $320
14	Optum fee schedule · outpatient · +2 other terms	28	$89	$69	$45	65%	—	$9 – $219
15	Kaiser fee schedule · outpatient · +3 other terms	27	$92	$62	$34	55%	—	$9 – $93
16	Oscar fee schedule · outpatient	24	$86	$89	$4	4%	—	$86 – $93
17	Medicare fee schedule · outpatient	18	$54	$55	$34	62%	—	$9 – $92
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$106	$106	$2	2%	—	$101 – $112
19	Caresource fee schedule · outpatient · +3 other terms	15	$89	$89	—	—	—	$89 – $89
20	Wellmark fee schedule · both · +1 other terms	13	$45	$44	$36	82%	—	$6 – $81
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$82	$83	$22	26%	—	$41 – $100
22	Bcbs Nj fee schedule · outpatient	12	$85	$182	$124	68%	—	$85 – $374
23	MultiPlan facility · fee schedule · outpatient · +2 other terms	11	$28	$46	$58	126%	—	$28 – $229
24	Highmark fee schedule · outpatient · +3 other terms	10	$55	$57	$47	82%	—	$4 – $220
25	Medica fee schedule · outpatient · +4 other terms	10	$173	$166	$56	34%	—	$14 – $224

Page 1 of 2 · 50 payers