Lightweight wheelchair with fixed arms and swing-away leg rests

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

Wheelchair lightwt fixed arm

Payers reporting HCPCS E1087

Payer pricing summary

Low

Average

$601

Median

$313

High

$6.1k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +6 other terms	247	$177	$278	$314	113%	—	$122 – $1.4k
2	Aetna fee schedule · outpatient · +5 other terms	236	$179	$397	$1.2k	313%	—	$56 – $14.5k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	232	$177	$315	$319	101%	—	$75 – $1.5k
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	178	$183	$379	$727	192%	—	$0 – $6.0k
5	WellCare fee schedule · outpatient · +1 other terms	169	$180	$185	$29	16%	—	$153 – $323
6	Devoted fee schedule · outpatient · +1 other terms	151	$180	$174	$12	7%	—	$151 – $191
7	Cigna Healthspring fee schedule · outpatient	104	$172	$176	$9	5%	—	$153 – $193
8	Molina fee schedule · outpatient · +3 other terms	89	$266	$246	$97	39%	—	$150 – $472
9	Cigna fee schedule · outpatient · +3 other terms	69	$184	$295	$685	232%	—	$151 – $5.3k
10	Superior Healthplan fee schedule · outpatient	39	$189	$189	—	—	—	$189 – $189
11	Anthem fee schedule · outpatient · +5 other terms	34	$157	$164	$25	15%	—	$151 – $294
12	Clover fee schedule · outpatient	32	$162	$172	$11	7%	—	$161 – $189
13	Bcbs Tx fee schedule · outpatient	31	$166	$170	$50	29%	—	$125 – $617
14	Kaiser fee schedule · outpatient · +3 other terms	24	$160	$156	$4	3%	—	$151 – $160
15	Optum fee schedule · outpatient · +1 other terms	24	$180	$200	$94	47%	—	$150 – $451
16	Oscar fee schedule · outpatient	24	$177	$170	$8	5%	—	$161 – $177
17	Amerihealth Caritas fee schedule · outpatient	16	$184	$188	$8	4%	—	$184 – $203
18	Caresource fee schedule · outpatient · +3 other terms	15	$153	$153	—	—	—	$153 – $153
19	Medicare fee schedule · outpatient	15	$151	$161	$11	7%	—	$151 – $173
20	Wellmark fee schedule · both · +1 other terms	13	$159	$195	$227	116%	—	$123 – $1.6k
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$1.7k	$1.7k	$435	26%	—	$838 – $2.0k
22	Bcbs Nj fee schedule · outpatient	12	$162	$350	$237	68%	—	$162 – $717
23	Highmark fee schedule · outpatient · +3 other terms	10	$385	$389	$454	117%	—	$72 – $1.3k
24	Medica fee schedule · outpatient · +4 other terms	10	$2.3k	$2.2k	$750	34%	—	$284 – $3.0k
25	Medical Mutual fee schedule · outpatient	9	$279	$279	—	—	—	$279 – $279

Page 1 of 2 · 46 payers