Wheelchair for amputees 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 amputee detach ar

Payers reporting HCPCS E1172

Payer pricing summary

Low

Average

$478

Median

$257

High

$4.7k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	247	$132	$215	$244	113%	—	$89 – $1.1k
2	Aetna fee schedule · outpatient · +5 other terms	236	$137	$303	$947	312%	—	$44 – $11.1k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	232	$134	$246	$255	104%	—	$58 – $1.2k
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	178	$142	$295	$573	194%	—	$0 – $4.9k
5	WellCare fee schedule · outpatient · +1 other terms	169	$144	$144	$22	15%	—	$119 – $246
6	Devoted fee schedule · outpatient · +1 other terms	151	$140	$136	$9	6%	—	$119 – $148
7	Cigna Healthspring fee schedule · outpatient	104	$130	$136	$6	5%	—	$119 – $142
8	Molina fee schedule · outpatient · +3 other terms	89	$206	$191	$76	40%	—	$99 – $366
9	Cigna fee schedule · outpatient · +3 other terms	69	$137	$229	$530	232%	—	$121 – $4.1k
10	Superior Healthplan fee schedule · outpatient	39	$147	$147	—	—	—	$147 – $147
11	Anthem fee schedule · outpatient · +5 other terms	34	$133	$133	$17	13%	—	$119 – $227
12	Clover fee schedule · outpatient	32	$124	$130	$10	8%	—	$123 – $147
13	Bcbs Tx fee schedule · outpatient	31	$129	$132	$39	29%	—	$97 – $478
14	Kaiser fee schedule · outpatient · +3 other terms	24	$137	$134	$4	3%	—	$129 – $137
15	Optum fee schedule · outpatient · +1 other terms	24	$131	$157	$71	46%	—	$116 – $349
16	Oscar fee schedule · outpatient	24	$137	$132	$6	5%	—	$125 – $137
17	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$142	$141	$2	1%	—	$137 – $142
18	Caresource fee schedule · outpatient · +3 other terms	15	$119	$119	—	—	—	$119 – $119
19	Medicare fee schedule · outpatient	15	$129	$122	$8	6%	—	$114 – $132
20	Wellmark fee schedule · both · +1 other terms	13	$107	$137	$189	138%	—	$100 – $1.3k
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$1.3k	$1.3k	$337	26%	—	$649 – $1.6k
22	Bcbs Nj fee schedule · outpatient	12	$123	$266	$181	68%	—	$123 – $546
23	Highmark fee schedule · outpatient · +3 other terms	10	$314	$317	$370	117%	—	$58 – $1.0k
24	Medica fee schedule · outpatient · +4 other terms	10	$1.8k	$1.7k	$581	34%	—	$220 – $2.3k
25	Medical Mutual fee schedule · outpatient	9	$227	$227	—	—	—	$227 – $227

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