Reclining back add-on for pediatric 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

Reclining back add ped w/c

Payers reporting HCPCS E1014

Payer pricing summary

Low

$10

Average

$194

Median

$112

High

$1.8k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	247	$52	$84	$90	107%	—	$35 – $400
2	Aetna fee schedule · outpatient · +5 other terms	236	$53	$112	$300	268%	—	$19 – $3.4k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	231	$53	$96	$99	102%	—	$22 – $467
4	WellCare fee schedule · outpatient · +1 other terms	169	$54	$56	$9	16%	—	$51 – $102
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	167	$53	$123	$246	200%	—	$0 – $1.8k
6	Devoted fee schedule · outpatient · +1 other terms	151	$52	$52	$1	2%	—	$50 – $55
7	Cigna Healthspring fee schedule · outpatient	104	$53	$53	$1	3%	—	$52 – $56
8	Molina fee schedule · outpatient · +3 other terms	89	$77	$72	$28	39%	—	$43 – $136
9	Cigna fee schedule · outpatient · +3 other terms	69	$54	$89	$197	222%	—	$50 – $1.5k
10	Superior Healthplan fee schedule · outpatient	39	$55	$55	—	—	—	$55 – $55
11	Anthem fee schedule · outpatient · +5 other terms	34	$52	$53	$6	11%	—	$50 – $85
12	Clover fee schedule · outpatient	32	$53	$53	$2	3%	—	$51 – $55
13	Bcbs Tx fee schedule · outpatient	31	$48	$49	$14	29%	—	$36 – $178
14	Kaiser fee schedule · outpatient · +3 other terms	24	$53	$52	$1	3%	—	$50 – $53
15	Optum fee schedule · outpatient · +1 other terms	24	$52	$61	$26	42%	—	$50 – $130
16	Oscar fee schedule · outpatient	24	$51	$53	$2	3%	—	$51 – $55
17	Amerihealth Caritas fee schedule · outpatient	16	$62	$62	$1	2%	—	$59 – $62
18	Caresource fee schedule · outpatient · +3 other terms	15	$52	$52	—	—	—	$52 – $52
19	Medicare fee schedule · outpatient	15	$50	$50	$0	0%	—	$50 – $51
20	Wellmark fee schedule · both · +1 other terms	13	$253	$253	$207	82%	—	$37 – $486
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$479	$485	$126	26%	—	$242 – $582
22	Bcbs Nj fee schedule · outpatient	12	$51	$110	$75	68%	—	$51 – $226
23	Highmark fee schedule · outpatient · +3 other terms	10	$161	$163	$155	95%	—	$24 – $421
24	Medica fee schedule · outpatient · +4 other terms	10	$676	$645	$217	34%	—	$82 – $872
25	Medical Mutual fee schedule · outpatient	9	$93	$93	—	—	—	$93 – $93

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