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.
Original text from hospital filings
Hemi-wheelchair detachable a
Low
$0
Average
$657
Median
$541
High
$2.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
27 payers; the 90th percentile is 13.8× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +6 other terms | 65 | $474 | $457 | $258 | 56% | — | $79 – $869 |
| 2 | Blue Cross Blue Shield facility · fee schedule · outpatient · +5 other terms | 34 | $818 | $1.2k | $1.2k | 100% | — | $0 – $6.5k |
| 3 | Aetna fee schedule · outpatient · +5 other terms | 28 | $790 | $1.4k | $1.6k | 114% | — | $35 – $6.5k |
| 4 | UnitedHealthcare fee schedule · both · +7 other terms | 26 | $322 | $698 | $624 | 89% | — | $44 – $2.3k |
| 5 | Anthem facility · case rate · outpatient · +4 other terms | 15 | $53 | $58 | $14 | 23% | — | $36 – $90 |
| 6 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $54 | $58 | $13 | 23% | — | $36 – $92 |
| 7 | Cigna fee schedule · both · +3 other terms | 15 | $1.2k | $1.0k | $724 | 70% | — | $29 – $1.9k |
| 8 | Molina facility · case rate · outpatient · +2 other terms | 15 | $53 | $58 | $13 | 23% | — | $37 – $90 |
| 9 | Wellmark fee schedule · both · +1 other terms | 13 | $627 | $622 | $511 | 82% | — | $60 – $1.1k |
| 10 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $2.6k | $2.0k | $1.1k | 57% | — | $818 – $3.2k |
| 11 | Regence fee schedule · outpatient · +1 other terms | 12 | $938 | $1.0k | $265 | 26% | — | $732 – $2.4k |
| 12 | Optum facility · case rate · outpatient | 11 | $50 | $55 | $12 | 22% | — | $45 – $81 |
| 13 | Highmark fee schedule · outpatient · +1 other terms | 10 | $354 | $354 | $375 | 106% | — | $88 – $884 |
| 14 | Medica fee schedule · outpatient · +4 other terms | 10 | $1.7k | $1.6k | $549 | 35% | — | $107 – $2.2k |
| 15 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $406 | $406 | — | — | — | $406 – $406 |
| 16 | First Health professional · fee schedule · both | 3 | $349 | $349 | $248 | 71% | — | $55 – $600 |
| 17 | Kaiser fee schedule · both | 2 | $142 | $142 | — | — | — | $142 – $142 |
| 18 | Tricare facility · fee schedule · outpatient | 2 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 19 | Bcbs Id facility · fee schedule · outpatient | 1 | $456 | $456 | — | — | — | $456 – $456 |
| 20 | Bcbs Il professional · fee schedule · both | 1 | $1.0k | $1.0k | $859 | 86% | — | $143 – $1.9k |
| 21 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | Bcbs Nc facility · fee schedule · outpatient | 1 | $672 | $672 | $162 | 24% | — | $557 – $900 |
| 23 | Bcbs Nv fee schedule · outpatient | 1 | $360 | $360 | $226 | 63% | — | $54 – $594 |
| 24 | Bcbs Vt professional · fee schedule · outpatient | 1 | $286 | $286 | $180 | 63% | — | $43 – $473 |
| 25 | Healthpartners facility · fee schedule · outpatient | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
← Hospitals reporting HCPCS E1086 · Snapshot 20261113T090226Z-3ce6c0b8