Power wheelchair shock absorber, each

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 power w/c

Payers reporting HCPCS E1016

Payer pricing summary

Low

Average

$135

Median

$124

High

$466

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	267	$132	$119	$50	42%	—	$10 – $534
2	Aetna fee schedule · outpatient · +5 other terms	259	$137	$149	$112	75%	—	$6 – $1.1k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$135	$105	$54	52%	—	$7 – $192
4	WellCare fee schedule · outpatient · +2 other terms	185	$141	$146	$22	15%	—	$126 – $250
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	179	$138	$164	$67	41%	—	$0 – $518
6	Devoted fee schedule · outpatient · +1 other terms	165	$137	$131	$29	22%	—	$13 – $176
7	Cigna Healthspring fee schedule · outpatient	111	$139	$139	$6	4%	—	$134 – $168
8	Molina fee schedule · outpatient · +3 other terms	96	$166	$155	$87	56%	—	$11 – $408
9	Cigna fee schedule · outpatient · +3 other terms	77	$138	$130	$82	63%	—	$13 – $402
10	Superior Healthplan fee schedule · outpatient	40	$144	$144	$3	2%	—	$144 – $164
11	Anthem fee schedule · outpatient · +5 other terms	38	$138	$100	$53	53%	—	$13 – $161
12	Clover fee schedule · outpatient	34	$139	$136	$11	8%	—	$126 – $164
13	Bcbs Tx fee schedule · outpatient	31	$147	$152	$45	30%	—	$114 – $564
14	Optum fee schedule · outpatient · +2 other terms	28	$134	$109	$70	64%	—	$13 – $342
15	Kaiser fee schedule · outpatient · +3 other terms	27	$139	$98	$55	56%	—	$13 – $164
16	Oscar fee schedule · outpatient	24	$134	$137	$3	2%	—	$134 – $140
17	Medicare fee schedule · outpatient	18	$88	$90	$56	62%	—	$13 – $164
18	Amerihealth Caritas fee schedule · outpatient	17	$160	$162	$8	5%	—	$152 – $187
19	Caresource fee schedule · outpatient · +3 other terms	15	$134	$134	—	—	—	$134 – $134
20	Wellmark fee schedule · both · +1 other terms	13	$75	$75	$61	82%	—	$11 – $137
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$134	$138	$36	26%	—	$68 – $164
22	Bcbs Nj fee schedule · outpatient	12	$126	$271	$184	68%	—	$126 – $557
23	MultiPlan facility · fee schedule · outpatient · +2 other terms	11	$46	$78	$100	130%	—	$46 – $395
24	Highmark fee schedule · outpatient · +3 other terms	10	$91	$95	$78	83%	—	$6 – $393
25	Medica fee schedule · outpatient · +4 other terms	10	$267	$255	$86	34%	—	$21 – $344

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