Wheelchair with detachable arms and elevating leg rest

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 semi-recl detach

Payers reporting HCPCS E1110

Payer pricing summary

Low

Average

$505

Median

$284

High

$4.9k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	247	$143	$225	$252	112%	—	$98 – $1.1k
2	Aetna fee schedule · outpatient · +5 other terms	236	$145	$283	$720	255%	—	$45 – $8.1k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	232	$144	$262	$278	106%	—	$60 – $1.3k
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	178	$145	$324	$659	203%	—	$0 – $5.1k
5	WellCare fee schedule · outpatient · +1 other terms	169	$146	$150	$27	18%	—	$123 – $283
6	Devoted fee schedule · outpatient · +1 other terms	151	$145	$140	$10	7%	—	$118 – $153
7	Cigna Healthspring fee schedule · outpatient	104	$138	$142	$8	6%	—	$123 – $156
8	Molina fee schedule · outpatient · +3 other terms	89	$213	$200	$77	39%	—	$113 – $380
9	Cigna fee schedule · outpatient · +3 other terms	69	$149	$241	$550	228%	—	$118 – $4.2k
10	Superior Healthplan fee schedule · outpatient	39	$152	$152	—	—	—	$152 – $152
11	Anthem fee schedule · outpatient · +5 other terms	34	$123	$129	$16	13%	—	$118 – $201
12	Clover fee schedule · outpatient	32	$142	$146	$6	4%	—	$129 – $152
13	Bcbs Tx fee schedule · outpatient	31	$134	$137	$40	29%	—	$100 – $496
14	Kaiser fee schedule · outpatient · +3 other terms	24	$126	$123	$3	3%	—	$118 – $126
15	Optum fee schedule · outpatient · +1 other terms	24	$139	$160	$76	47%	—	$118 – $362
16	Oscar fee schedule · outpatient	24	$142	$137	$6	5%	—	$129 – $142
17	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$148	$151	$7	4%	—	$148 – $165
18	Caresource fee schedule · outpatient · +3 other terms	15	$123	$123	—	—	—	$123 – $123
19	Medicare fee schedule · outpatient	15	$118	$124	$6	5%	—	$118 – $130
20	Wellmark fee schedule · both · +1 other terms	13	$128	$159	$194	122%	—	$104 – $1.4k
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$1.3k	$1.4k	$350	26%	—	$673 – $1.6k
22	Bcbs Nj fee schedule · outpatient	12	$142	$306	$208	68%	—	$142 – $628
23	Highmark fee schedule · outpatient · +3 other terms	10	$354	$358	$418	117%	—	$66 – $1.2k
24	Medica fee schedule · outpatient · +4 other terms	10	$1.9k	$1.8k	$602	34%	—	$228 – $2.4k
25	Medical Mutual fee schedule · outpatient	9	$257	$257	—	—	—	$257 – $257

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