Shock absorber 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

Shock absorber for man w/c

Payers reporting HCPCS E1015

Payer pricing summary

Low

Average

$143

Median

$133

High

$513

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	267	$144	$127	$53	42%	—	$11 – $585
2	Aetna fee schedule · outpatient · +5 other terms	259	$147	$153	$109	71%	—	$6 – $1.1k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$147	$110	$55	50%	—	$7 – $199
4	WellCare fee schedule · outpatient · +2 other terms	185	$153	$155	$22	14%	—	$133 – $264
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	179	$152	$168	$66	39%	—	$0 – $525
6	Devoted fee schedule · outpatient · +1 other terms	165	$146	$140	$31	22%	—	$14 – $183
7	Cigna Healthspring fee schedule · outpatient	111	$152	$148	$7	4%	—	$144 – $175
8	Molina fee schedule · outpatient · +3 other terms	96	$182	$167	$92	55%	—	$12 – $424
9	Cigna fee schedule · outpatient · +3 other terms	77	$151	$130	$83	63%	—	$14 – $442
10	Superior Healthplan fee schedule · outpatient	40	$152	$152	$3	2%	—	$152 – $170
11	Anthem fee schedule · outpatient · +5 other terms	38	$149	$106	$56	53%	—	$14 – $167
12	Clover fee schedule · outpatient	34	$152	$145	$12	8%	—	$133 – $170
13	Bcbs Tx fee schedule · outpatient	31	$147	$152	$45	29%	—	$113 – $560
14	Optum fee schedule · outpatient · +2 other terms	28	$146	$116	$74	64%	—	$14 – $361
15	Kaiser fee schedule · outpatient · +3 other terms	27	$150	$103	$57	55%	—	$14 – $160
16	Oscar fee schedule · outpatient	24	$141	$147	$6	4%	—	$141 – $154
17	Medicare fee schedule · outpatient	18	$92	$93	$57	62%	—	$14 – $160
18	Amerihealth Caritas fee schedule · outpatient	17	$176	$176	$6	3%	—	$167 – $194
19	Caresource fee schedule · outpatient · +3 other terms	15	$146	$146	—	—	—	$146 – $146
20	Wellmark fee schedule · both · +1 other terms	13	$78	$78	$64	82%	—	$11 – $142
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$139	$142	$37	26%	—	$70 – $170
22	Bcbs Nj fee schedule · outpatient	12	$133	$286	$194	68%	—	$133 – $587
23	MultiPlan facility · fee schedule · outpatient · +2 other terms	11	$47	$80	$102	128%	—	$47 – $401
24	Highmark fee schedule · outpatient · +3 other terms	10	$92	$95	$79	83%	—	$6 – $384
25	Medica fee schedule · outpatient · +4 other terms	10	$293	$280	$95	34%	—	$22 – $378

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