Wheelchair for amputees with fixed full-length 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 amputee w/o leg r

Payers reporting HCPCS E1171

Payer pricing summary

Low

Average

$383

Median

$202

High

$3.6k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	247	$110	$176	$200	113%	—	$77 – $879
2	Aetna fee schedule · outpatient · +5 other terms	236	$112	$229	$636	278%	—	$36 – $7.3k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	232	$112	$199	$204	102%	—	$47 – $943
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	178	$112	$255	$519	204%	—	$0 – $4.0k
5	WellCare fee schedule · outpatient · +1 other terms	169	$118	$117	$16	14%	—	$96 – $191
6	Devoted fee schedule · outpatient · +1 other terms	151	$114	$111	$7	6%	—	$97 – $121
7	Cigna Healthspring fee schedule · outpatient	104	$114	$112	$5	4%	—	$97 – $119
8	Molina fee schedule · outpatient · +3 other terms	89	$168	$156	$63	40%	—	$81 – $299
9	Cigna fee schedule · outpatient · +3 other terms	69	$112	$178	$397	223%	—	$100 – $3.1k
10	Superior Healthplan fee schedule · outpatient	39	$120	$120	—	—	—	$120 – $120
11	Anthem fee schedule · outpatient · +5 other terms	34	$114	$114	$12	11%	—	$97 – $179
12	Clover fee schedule · outpatient	32	$98	$103	$9	9%	—	$96 – $120
13	Bcbs Tx fee schedule · outpatient	31	$105	$108	$32	29%	—	$79 – $391
14	Kaiser fee schedule · outpatient · +3 other terms	24	$117	$114	$3	3%	—	$110 – $117
15	Optum fee schedule · outpatient · +1 other terms	24	$110	$128	$58	46%	—	$97 – $286
16	Oscar fee schedule · outpatient	24	$112	$108	$5	5%	—	$102 – $112
17	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$117	$115	$2	2%	—	$111 – $117
18	Caresource fee schedule · outpatient · +3 other terms	15	$97	$97	—	—	—	$97 – $97
19	Medicare fee schedule · outpatient	15	$110	$102	$8	8%	—	$93 – $112
20	Wellmark fee schedule · both · +1 other terms	13	$90	$114	$154	135%	—	$82 – $1.1k
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$963	$976	$253	26%	—	$487 – $1.2k
22	Bcbs Nj fee schedule · outpatient	12	$96	$207	$141	68%	—	$96 – $425
23	Highmark fee schedule · outpatient · +3 other terms	10	$247	$250	$292	117%	—	$46 – $809
24	Medica fee schedule · outpatient · +4 other terms	10	$1.5k	$1.4k	$475	34%	—	$180 – $1.9k
25	Medical Mutual fee schedule · outpatient	9	$179	$179	—	—	—	$179 – $179

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