Lightweight wheelchair with detachable arms

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Wheelchair lightweight det a

Payers reporting HCPCS E1090

Payer pricing summary

Low

Average

$903

Median

$555

High

$3.8k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	65	$652	$661	$372	56%	—	$115 – $1.2k
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms	34	$1.3k	$1.9k	$1.9k	97%	—	$0 – $10.6k
3	Aetna fee schedule · outpatient · +5 other terms	28	$1.1k	$1.9k	$2.2k	114%	—	$51 – $8.8k
4	UnitedHealthcare fee schedule · both · +7 other terms	26	$443	$959	$853	89%	—	$64 – $3.1k
5	Anthem facility · case rate · outpatient · +4 other terms	15	$318	$348	$82	23%	—	$216 – $540
6	Caresource facility · case rate · outpatient · +1 other terms	15	$324	$348	$80	23%	—	$216 – $550
7	Cigna fee schedule · both · +3 other terms	15	$1.6k	$1.4k	$990	70%	—	$34 – $2.6k
8	Molina facility · case rate · outpatient · +2 other terms	15	$318	$348	$81	23%	—	$223 – $540
9	Wellmark fee schedule · both	13	$536	$530	$439	83%	—	$98 – $975
10	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$4.2k	$3.2k	$1.8k	57%	—	$1.3k – $5.3k
11	Regence fee schedule · outpatient · +1 other terms	12	$1.3k	$1.4k	$362	26%	—	$1.0k – $3.3k
12	Optum facility · case rate · outpatient	11	$300	$330	$74	22%	—	$271 – $488
13	Highmark fee schedule · outpatient · +1 other terms	10	$530	$530	$562	106%	—	$132 – $1.3k
14	Medica fee schedule · outpatient · +4 other terms	10	$2.3k	$2.2k	$750	34%	—	$156 – $2.9k
15	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$555	$555	—	—	—	$555 – $555
16	First Health professional · fee schedule · both	3	$481	$481	$337	70%	—	$80 – $822
17	Kaiser fee schedule · both	2	$206	$206	—	—	—	$206 – $206
18	Tricare facility · fee schedule · outpatient	2	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
19	Bcbs Id facility · fee schedule · outpatient	1	$870	$870	—	—	—	$870 – $870
20	Bcbs Il professional · fee schedule · both	1	$232	$232	—	—	—	$232 – $232
21	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
22	Bcbs Nc facility · fee schedule · outpatient	1	$785	$785	$32	4%	—	$763 – $830
23	Bcbs Nv fee schedule · outpatient	1	$495	$495	$308	62%	—	$79 – $812
24	Bcbs Vt professional · fee schedule · outpatient	1	$394	$394	$245	62%	—	$63 – $647
25	Healthpartners facility · fee schedule · outpatient	1	$3.8k	$3.8k	—	—	—	$3.8k – $3.8k

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