Heavy-duty wide wheelchair with detachable arms and footrests

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/ foot rest

Payers reporting HCPCS E1093

Payer pricing summary

Low

Average

$469

Median

$280

High

$2.4k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +6 other terms	247	$154	$243	$275	113%	—	$106 – $1.2k
2	Aetna fee schedule · outpatient · +5 other terms	236	$154	$321	$887	277%	—	$49 – $10.2k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	232	$154	$285	$306	107%	—	$65 – $1.5k
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	178	$158	$337	$670	199%	—	$0 – $5.5k
5	WellCare fee schedule · outpatient · +1 other terms	169	$154	$162	$30	19%	—	$134 – $307
6	Devoted fee schedule · outpatient · +1 other terms	151	$145	$151	$11	7%	—	$129 – $167
7	Cigna Healthspring fee schedule · outpatient	104	$149	$153	$8	5%	—	$134 – $170
8	Molina fee schedule · outpatient · +3 other terms	89	$232	$217	$84	39%	—	$117 – $413
9	Cigna fee schedule · outpatient · +3 other terms	69	$162	$250	$521	209%	—	$129 – $4.0k
10	Superior Healthplan fee schedule · outpatient	39	$165	$165	—	—	—	$165 – $165
11	Anthem fee schedule · outpatient · +5 other terms	34	$134	$140	$20	15%	—	$129 – $249
12	Clover fee schedule · outpatient	32	$154	$159	$7	4%	—	$141 – $165
13	Bcbs Tx fee schedule · outpatient	31	$145	$148	$44	29%	—	$109 – $539
14	Kaiser fee schedule · outpatient · +3 other terms	24	$137	$133	$4	3%	—	$129 – $137
15	Optum fee schedule · outpatient · +1 other terms	24	$138	$168	$84	50%	—	$129 – $394
16	Oscar fee schedule · outpatient	24	$154	$149	$7	5%	—	$141 – $154
17	Amerihealth Caritas fee schedule · outpatient	16	$161	$164	$7	4%	—	$161 – $180
18	Caresource fee schedule · outpatient · +3 other terms	15	$134	$134	—	—	—	$134 – $134
19	Medicare fee schedule · outpatient	15	$129	$131	$3	2%	—	$129 – $134
20	Wellmark fee schedule · both · +1 other terms	13	$139	$172	$211	122%	—	$113 – $1.5k
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$1.3k	$1.3k	$332	26%	—	$640 – $1.5k
22	Bcbs Nj fee schedule · outpatient	12	$154	$333	$226	68%	—	$154 – $683
23	Highmark fee schedule · outpatient · +3 other terms	10	$390	$394	$460	117%	—	$73 – $1.3k
24	Medica fee schedule · outpatient · +4 other terms	10	$2.0k	$1.9k	$660	34%	—	$211 – $2.6k
25	Medical Mutual fee schedule · outpatient	9	$283	$283	—	—	—	$283 – $283

Page 1 of 2 · 46 payers