Heavy-duty wheelchair with removable 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 wide w/ leg rests

Payers reporting HCPCS E1092

Payer pricing summary

Low

Average

$623

Median

$340

High

$6.2k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	247	$183	$283	$320	113%	—	$123 – $1.4k
2	Aetna fee schedule · outpatient · +5 other terms	236	$181	$364	$950	261%	—	$57 – $10.8k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	232	$180	$332	$355	107%	—	$76 – $1.7k
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	178	$186	$385	$752	195%	—	$0 – $6.4k
5	WellCare fee schedule · outpatient · +1 other terms	169	$187	$190	$34	18%	—	$156 – $357
6	Devoted fee schedule · outpatient · +1 other terms	151	$183	$178	$13	7%	—	$150 – $194
7	Cigna Healthspring fee schedule · outpatient	104	$168	$178	$10	5%	—	$156 – $198
8	Molina fee schedule · outpatient · +3 other terms	89	$270	$252	$98	39%	—	$130 – $480
9	Cigna fee schedule · outpatient · +3 other terms	69	$189	$308	$696	226%	—	$150 – $5.4k
10	Superior Healthplan fee schedule · outpatient	39	$192	$192	—	—	—	$192 – $192
11	Anthem fee schedule · outpatient · +5 other terms	34	$156	$160	$19	12%	—	$150 – $263
12	Clover fee schedule · outpatient	32	$185	$186	$6	3%	—	$180 – $192
13	Bcbs Tx fee schedule · outpatient	31	$169	$173	$51	29%	—	$127 – $627
14	Kaiser fee schedule · outpatient · +3 other terms	24	$159	$155	$4	3%	—	$150 – $159
15	Optum fee schedule · outpatient · +1 other terms	24	$163	$199	$96	48%	—	$150 – $458
16	Oscar fee schedule · outpatient	24	$179	$173	$8	5%	—	$163 – $179
17	Amerihealth Caritas fee schedule · outpatient	16	$187	$191	$9	4%	—	$187 – $209
18	Caresource fee schedule · outpatient · +3 other terms	15	$156	$156	—	—	—	$156 – $156
19	Medicare fee schedule · outpatient	15	$150	$150	$1	0%	—	$150 – $153
20	Wellmark fee schedule · both · +1 other terms	13	$159	$198	$245	124%	—	$132 – $1.7k
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$1.7k	$1.7k	$442	26%	—	$851 – $2.0k
22	Bcbs Nj fee schedule · outpatient	12	$180	$387	$263	68%	—	$180 – $794
23	Highmark fee schedule · outpatient · +3 other terms	10	$453	$458	$535	117%	—	$84 – $1.5k
24	Medica fee schedule · outpatient · +4 other terms	10	$2.4k	$2.3k	$762	34%	—	$288 – $3.1k
25	Medical Mutual fee schedule · outpatient	9	$329	$329	—	—	—	$329 – $329

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