Standard 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-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 standard detach a

Payers reporting HCPCS E1140

Payer pricing summary

Low

Average

$475

Median

$405

High

$1.4k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	65	$362	$377	$212	56%	—	$66 – $658
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +5 other terms	34	$765	$1.1k	$1.1k	102%	—	$0 – $5.6k
3	Aetna fee schedule · outpatient · +5 other terms	28	$597	$1.1k	$1.2k	114%	—	$29 – $4.9k
4	UnitedHealthcare fee schedule · both · +7 other terms	26	$243	$528	$470	89%	—	$37 – $1.7k
5	Anthem facility · case rate · outpatient · +4 other terms	15	$53	$58	$14	23%	—	$36 – $90
6	Caresource facility · case rate · outpatient · +1 other terms	15	$54	$58	$13	23%	—	$36 – $92
7	Cigna fee schedule · both · +3 other terms	15	$871	$747	$556	74%	—	$21 – $1.4k
8	Molina facility · case rate · outpatient · +2 other terms	15	$53	$58	$13	23%	—	$37 – $90
9	Wellmark fee schedule · both · +1 other terms	13	$398	$398	$325	82%	—	$72 – $750
10	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$2.3k	$1.6k	$1.2k	75%	—	$75 – $2.9k
11	Regence fee schedule · outpatient · +1 other terms	12	$711	$771	$201	26%	—	$555 – $1.8k
12	Optum facility · case rate · outpatient	11	$50	$55	$12	22%	—	$45 – $81
13	Highmark fee schedule · outpatient · +1 other terms	10	$302	$302	$321	106%	—	$76 – $756
14	Medica fee schedule · outpatient · +4 other terms	10	$1.3k	$1.2k	$415	34%	—	$89 – $1.6k
15	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$308	$308	—	—	—	$308 – $308
16	Amerihealth Caritas professional · fee schedule · outpatient	3	$669	$671	$12	2%	—	$660 – $686
17	First Health professional · fee schedule · both	3	$265	$265	$185	70%	—	$46 – $455
18	Kaiser fee schedule · both	2	$118	$118	—	—	—	$118 – $118
19	Tricare facility · fee schedule · outpatient	2	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
20	Bcbs Id facility · fee schedule · outpatient	1	$446	$446	—	—	—	$446 – $446
21	Bcbs Il professional · fee schedule · both	1	$427	$427	$324	76%	—	$103 – $750
22	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
23	Bcbs Nc facility · fee schedule · outpatient	1	$448	$448	$37	8%	—	$423 – $500
24	Bcbs Nv fee schedule · outpatient	1	$271	$271	$169	62%	—	$45 – $450
25	Bcbs Vt professional · fee schedule · outpatient	1	$216	$216	$134	62%	—	$36 – $358

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