Wheelchair with fixed 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

Whlchr stand fxd arm ft rest

Payers reporting HCPCS E1130

Payer pricing summary

Low

Average

$347

Median

$275

High

$1.5k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	65	$251	$261	$147	56%	—	$46 – $457
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +5 other terms	34	$93	$565	$644	114%	—	$0 – $3.1k
3	Aetna fee schedule · outpatient · +5 other terms	28	$420	$740	$838	113%	—	$20 – $3.4k
4	UnitedHealthcare fee schedule · both · +7 other terms	26	$173	$373	$329	88%	—	$25 – $1.2k
5	Anthem facility · case rate · outpatient · +4 other terms	15	$29	$31	$7	23%	—	$20 – $49
6	Caresource facility · case rate · outpatient · +1 other terms	15	$29	$31	$7	23%	—	$20 – $50
7	Cigna fee schedule · both · +3 other terms	15	$622	$556	$382	69%	—	$15 – $1.0k
8	Molina facility · case rate · outpatient · +2 other terms	15	$29	$31	$7	23%	—	$20 – $49
9	Wellmark fee schedule · both · +1 other terms	13	$293	$296	$244	83%	—	$34 – $750
10	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$1.6k	$1.1k	$864	81%	—	$93 – $2.0k
11	Regence fee schedule · outpatient · +1 other terms	12	$494	$535	$139	26%	—	$385 – $1.3k
12	Optum facility · case rate · outpatient	11	$27	$30	$7	22%	—	$24 – $44
13	Highmark fee schedule · outpatient · +1 other terms	10	$197	$197	$208	106%	—	$49 – $491
14	Medica fee schedule · outpatient · +4 other terms	10	$879	$836	$288	34%	—	$62 – $1.1k
15	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$214	$214	—	—	—	$214 – $214
16	Amerihealth Caritas professional · fee schedule · outpatient	3	$429	$430	$8	2%	—	$423 – $440
17	First Health professional · fee schedule · both	3	$187	$187	$130	69%	—	$32 – $316
18	Kaiser fee schedule · both	2	$82	$82	—	—	—	$82 – $82
19	Tricare facility · fee schedule · outpatient	2	$634	$634	—	—	—	$634 – $634
20	Bcbs Id facility · fee schedule · outpatient	1	$255	$255	—	—	—	$255 – $255
21	Bcbs Il professional · fee schedule · both	1	$415	$415	$335	81%	—	$80 – $750
22	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
23	Bcbs Nc facility · fee schedule · outpatient	1	$329	$329	$50	15%	—	$293 – $400
24	Bcbs Nv fee schedule · outpatient	1	$194	$194	$119	61%	—	$31 – $312
25	Bcbs Vt professional · fee schedule · outpatient	1	$154	$154	$95	61%	—	$25 – $249

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