Hemi-height wheelchair with fixed arms and swing-away leg rest

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

Hemi-wheelchair fixed arms

Payers reporting HCPCS E1083

Payer pricing summary

Low

Average

$360

Median

$199

High

$3.2k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	247	$103	$158	$167	106%	—	$73 – $758
2	Aetna fee schedule · outpatient · +5 other terms	236	$99	$211	$517	245%	—	$35 – $5.7k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	232	$97	$200	$219	109%	—	$47 – $1.1k
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	178	$98	$234	$500	214%	—	$0 – $3.9k
5	WellCare fee schedule · outpatient · +1 other terms	169	$100	$105	$20	19%	—	$94 – $201
6	Devoted fee schedule · outpatient · +1 other terms	151	$95	$99	$6	6%	—	$95 – $113
7	Cigna Healthspring fee schedule · outpatient	104	$102	$98	$5	5%	—	$95 – $112
8	Molina fee schedule · outpatient · +3 other terms	89	$140	$136	$52	38%	—	$79 – $250
9	Cigna fee schedule · outpatient · +3 other terms	69	$108	$174	$361	207%	—	$94 – $2.8k
10	Superior Healthplan fee schedule · outpatient	39	$100	$100	—	—	—	$100 – $100
11	Anthem fee schedule · outpatient · +5 other terms	34	$109	$110	$9	8%	—	$95 – $155
12	Clover fee schedule · outpatient	32	$101	$105	$7	7%	—	$100 – $118
13	Bcbs Tx fee schedule · outpatient	31	$88	$90	$26	29%	—	$66 – $327
14	Kaiser fee schedule · outpatient · +3 other terms	24	$114	$112	$3	3%	—	$108 – $114
15	Optum fee schedule · outpatient · +1 other terms	24	$108	$118	$45	38%	—	$95 – $238
16	Oscar fee schedule · outpatient	24	$93	$96	$3	3%	—	$93 – $100
17	Amerihealth Caritas fee schedule · outpatient	16	$114	$114	$1	0%	—	$113 – $114
18	Caresource fee schedule · outpatient · +3 other terms	15	$95	$95	—	—	—	$95 – $95
19	Medicare fee schedule · outpatient	15	$108	$100	$8	8%	—	$92 – $110
20	Wellmark fee schedule · both · +1 other terms	13	$99	$123	$150	122%	—	$81 – $1.0k
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$877	$889	$230	26%	—	$443 – $1.1k
22	Bcbs Nj fee schedule · outpatient	12	$101	$218	$148	68%	—	$101 – $446
23	Highmark fee schedule · outpatient · +3 other terms	10	$278	$281	$328	117%	—	$52 – $908
24	Medica fee schedule · outpatient · +4 other terms	10	$1.5k	$1.4k	$467	34%	—	$174 – $1.9k
25	Medical Mutual fee schedule · outpatient	9	$201	$201	—	—	—	$201 – $201

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