Lightweight wheelchair with detachable arms and 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 lightweight det a

Payers reporting HCPCS E1088

Payer pricing summary

Low

Average

$634

Median

$395

High

$3.2k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	247	$211	$334	$374	112%	—	$145 – $1.7k
2	Aetna fee schedule · outpatient · +5 other terms	236	$211	$428	$1.1k	259%	—	$67 – $12.5k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	232	$211	$388	$410	106%	—	$89 – $2.0k
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	178	$218	$480	$976	203%	—	$0 – $7.5k
5	WellCare fee schedule · outpatient · +1 other terms	169	$219	$223	$40	18%	—	$183 – $419
6	Devoted fee schedule · outpatient · +1 other terms	151	$215	$210	$13	6%	—	$183 – $228
7	Cigna Healthspring fee schedule · outpatient	104	$204	$210	$9	4%	—	$183 – $219
8	Molina fee schedule · outpatient · +3 other terms	89	$316	$297	$115	39%	—	$179 – $563
9	Cigna fee schedule · outpatient · +3 other terms	69	$217	$341	$689	202%	—	$195 – $5.4k
10	Superior Healthplan fee schedule · outpatient	39	$226	$226	—	—	—	$226 – $226
11	Anthem fee schedule · outpatient · +5 other terms	34	$203	$203	$19	10%	—	$183 – $306
12	Clover fee schedule · outpatient	32	$211	$215	$6	3%	—	$206 – $226
13	Bcbs Tx fee schedule · outpatient	31	$198	$203	$60	29%	—	$149 – $736
14	Kaiser fee schedule · outpatient · +3 other terms	24	$207	$202	$6	3%	—	$195 – $207
15	Optum fee schedule · outpatient · +1 other terms	24	$210	$245	$108	44%	—	$195 – $537
16	Oscar fee schedule · outpatient	24	$211	$203	$9	5%	—	$192 – $211
17	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$219	$219	$1	1%	—	$216 – $219
18	Caresource fee schedule · outpatient · +3 other terms	15	$183	$183	—	—	—	$183 – $183
19	Medicare fee schedule · outpatient	15	$195	$201	$6	3%	—	$195 – $206
20	Wellmark fee schedule · both · +1 other terms	13	$190	$235	$287	122%	—	$154 – $2.0k
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$1.7k	$1.7k	$441	26%	—	$849 – $2.0k
22	Bcbs Nj fee schedule · outpatient	12	$211	$454	$308	68%	—	$211 – $932
23	Highmark fee schedule · outpatient · +3 other terms	10	$521	$527	$614	117%	—	$97 – $1.7k
24	Medica fee schedule · outpatient · +4 other terms	10	$2.8k	$2.7k	$894	34%	—	$338 – $3.6k
25	Medical Mutual fee schedule · outpatient	9	$378	$378	—	—	—	$378 – $378

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