Wheelchair residual limb support system

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

Residual limb support system

Payers reporting HCPCS E1020

Payer pricing summary

Low

Average

$90

Median

$53

High

$756

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	267	$23	$35	$35	101%	—	$16 – $168
2	Aetna fee schedule · outpatient · +5 other terms	259	$23	$50	$136	272%	—	$11 – $1.8k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$23	$43	$55	128%	—	$11 – $312
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	188	$27	$62	$129	207%	—	$0 – $961
5	WellCare fee schedule · outpatient · +1 other terms	185	$23	$24	$4	15%	—	$20 – $40
6	Devoted fee schedule · outpatient · +1 other terms	165	$22	$23	$2	9%	—	$21 – $31
7	Cigna Healthspring fee schedule · outpatient	111	$23	$23	$1	6%	—	$22 – $29
8	Molina fee schedule · outpatient · +3 other terms	96	$33	$31	$12	38%	—	$18 – $71
9	Cigna fee schedule · outpatient · +3 other terms	77	$24	$37	$62	167%	—	$21 – $651
10	Superior Healthplan fee schedule · outpatient	40	$23	$23	$1	4%	—	$23 – $28
11	Anthem fee schedule · outpatient · +5 other terms	38	$23	$25	$6	22%	—	$21 – $49
12	Clover fee schedule · outpatient	34	$23	$22	$2	11%	—	$20 – $28
13	Bcbs Tx fee schedule · outpatient	31	$26	$27	$8	31%	—	$21 – $102
14	Optum fee schedule · outpatient · +2 other terms	28	$25	$27	$9	33%	—	$21 – $55
15	Kaiser fee schedule · outpatient · +3 other terms	27	$23	$24	$3	12%	—	$21 – $29
16	Oscar fee schedule · outpatient	24	$22	$22	$1	4%	—	$22 – $24
17	Medicare fee schedule · outpatient	18	$25	$25	$4	14%	—	$21 – $29
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$27	$27	$2	6%	—	$26 – $32
19	Caresource fee schedule · outpatient · +3 other terms	15	$22	$22	—	—	—	$22 – $22
20	Wellmark fee schedule · both · +1 other terms	13	$131	$130	$107	82%	—	$16 – $238
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$245	$249	$64	26%	—	$124 – $298
22	Bcbs Nj fee schedule · outpatient	12	$20	$43	$29	68%	—	$20 – $89
23	MultiPlan facility · fee schedule · outpatient · +2 other terms	11	$79	$79	$2	2%	—	$73 – $79
24	Highmark fee schedule · outpatient · +3 other terms	10	$46	$47	$50	107%	—	$9 – $192
25	Medica fee schedule · outpatient · +4 other terms	10	$305	$291	$98	34%	—	$34 – $394

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