Wheelchair calf rest replacement pad

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

Wc calf rest, pad replacemnt

Payers reporting HCPCS E0995

Payer pricing summary

Low

$13

Average

$33

Median

$32

High

$112

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +8 other terms	267	$31	$28	$12	42%	—	$2 – $127
2	Aetna fee schedule · outpatient · +7 other terms	259	$33	$36	$37	102%	—	$1 – $530
3	UnitedHealthcare fee schedule · outpatient · +10 other terms	256	$32	$24	$12	50%	—	$2 – $82
4	WellCare fee schedule · outpatient · +2 other terms	185	$33	$34	$6	17%	—	$31 – $63
5	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	178	$33	$36	$14	39%	—	$0 – $120
6	Devoted fee schedule · outpatient · +1 other terms	165	$32	$31	$7	22%	—	$3 – $40
7	Cigna Healthspring fee schedule · outpatient	111	$33	$32	$1	3%	—	$32 – $37
8	Molina fee schedule · outpatient · +3 other terms	96	$42	$37	$20	55%	—	$3 – $83
9	Cigna fee schedule · outpatient · +3 other terms	70	$34	$29	$18	61%	—	$3 – $96
10	Superior Healthplan fee schedule · outpatient	40	$33	$33	—	—	—	$33 – $33
11	Anthem fee schedule · outpatient · +5 other terms	38	$33	$24	$13	53%	—	$3 – $37
12	Clover fee schedule · outpatient	34	$33	$33	$2	5%	—	$32 – $37
13	Bcbs Tx fee schedule · outpatient	31	$31	$32	$9	29%	—	$24 – $116
14	Optum fee schedule · outpatient · +2 other terms	28	$32	$26	$16	63%	—	$3 – $79
15	Kaiser fee schedule · outpatient · +3 other terms	27	$34	$23	$13	55%	—	$3 – $37
16	Oscar fee schedule · outpatient	24	$31	$32	$1	3%	—	$31 – $33
17	Medicare fee schedule · outpatient	18	$21	$21	$13	62%	—	$3 – $37
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$38	$38	$0	1%	—	$38 – $39
19	Caresource fee schedule · outpatient · +3 other terms	15	$32	$32	—	—	—	$32 – $32
20	Wellmark fee schedule · both · +1 other terms	13	$17	$17	$14	82%	—	$2 – $31
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$30	$31	$8	26%	—	$15 – $37
22	Bcbs Nj fee schedule · outpatient	12	$32	$69	$47	68%	—	$32 – $141
23	MultiPlan facility · fee schedule · outpatient · +5 other terms	11	$10	$17	$24	138%	—	$10 – $91
24	Highmark fee schedule · outpatient · +3 other terms	10	$19	$20	$16	83%	—	$2 – $82
25	Medica fee schedule · outpatient · +6 other terms	10	$64	$61	$21	34%	—	$5 – $83

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