Wheelchair with detachable 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 standard w/ leg r

Payers reporting HCPCS E1150

Payer pricing summary

Low

Average

$353

Median

$216

High

$1.9k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	247	$115	$180	$203	113%	—	$79 – $894
2	Aetna fee schedule · outpatient · +5 other terms	236	$114	$235	$614	261%	—	$36 – $6.9k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	232	$114	$210	$226	107%	—	$48 – $1.1k
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	178	$114	$256	$518	203%	—	$0 – $4.1k
5	WellCare fee schedule · outpatient · +1 other terms	169	$117	$120	$20	17%	—	$99 – $217
6	Devoted fee schedule · outpatient · +1 other terms	151	$115	$113	$7	6%	—	$99 – $123
7	Cigna Healthspring fee schedule · outpatient	104	$116	$115	$5	4%	—	$99 – $121
8	Molina fee schedule · outpatient · +3 other terms	89	$171	$160	$63	39%	—	$97 – $305
9	Cigna fee schedule · outpatient · +3 other terms	69	$114	$187	$414	221%	—	$104 – $3.2k
10	Superior Healthplan fee schedule · outpatient	39	$122	$122	—	—	—	$122 – $122
11	Anthem fee schedule · outpatient · +5 other terms	34	$116	$116	$10	9%	—	$101 – $169
12	Clover fee schedule · outpatient	32	$110	$113	$5	5%	—	$109 – $122
13	Bcbs Tx fee schedule · outpatient	31	$107	$110	$32	29%	—	$81 – $398
14	Kaiser fee schedule · outpatient · +3 other terms	24	$119	$116	$3	3%	—	$112 – $119
15	Optum fee schedule · outpatient · +1 other terms	24	$112	$131	$59	46%	—	$99 – $291
16	Oscar fee schedule · outpatient	24	$114	$110	$5	5%	—	$104 – $114
17	Amerihealth Caritas fee schedule · outpatient	16	$119	$119	$0	0%	—	$118 – $119
18	Caresource fee schedule · outpatient · +3 other terms	15	$99	$99	—	—	—	$99 – $99
19	Medicare fee schedule · outpatient	15	$112	$112	$1	0%	—	$112 – $114
20	Wellmark fee schedule · both · +1 other terms	13	$527	$528	$433	82%	—	$83 – $1.1k
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$1.0k	$1.0k	$264	26%	—	$507 – $1.2k
22	Bcbs Nj fee schedule · outpatient	12	$109	$236	$160	68%	—	$109 – $483
23	Highmark fee schedule · outpatient · +3 other terms	10	$288	$291	$339	117%	—	$54 – $940
24	Medica fee schedule · outpatient · +4 other terms	10	$1.5k	$1.4k	$487	34%	—	$159 – $1.9k
25	Medical Mutual fee schedule · outpatient	9	$209	$209	—	—	—	$209 – $209

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