Wheelchair with detachable 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

Wheelchair amputee w/ foot r

Payers reporting HCPCS E1180

Payer pricing summary

Low

Average

$499

Median

$274

High

$4.9k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	247	$132	$222	$252	113%	—	$97 – $1.1k
2	Aetna fee schedule · outpatient · +5 other terms	236	$142	$300	$882	295%	—	$45 – $10.2k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	232	$138	$251	$253	101%	—	$60 – $1.2k
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	178	$147	$305	$593	195%	—	$0 – $5.0k
5	WellCare fee schedule · outpatient · +1 other terms	169	$142	$148	$25	17%	—	$123 – $262
6	Devoted fee schedule · outpatient · +1 other terms	151	$144	$140	$10	7%	—	$123 – $153
7	Cigna Healthspring fee schedule · outpatient	104	$134	$141	$6	5%	—	$123 – $147
8	Molina fee schedule · outpatient · +3 other terms	89	$213	$197	$79	40%	—	$102 – $378
9	Cigna fee schedule · outpatient · +3 other terms	69	$142	$231	$549	237%	—	$125 – $4.2k
10	Superior Healthplan fee schedule · outpatient	39	$152	$152	—	—	—	$152 – $152
11	Anthem fee schedule · outpatient · +5 other terms	34	$130	$136	$19	14%	—	$125 – $235
12	Clover fee schedule · outpatient	32	$132	$135	$9	7%	—	$128 – $152
13	Bcbs Tx fee schedule · outpatient	31	$133	$136	$40	29%	—	$100 – $494
14	Kaiser fee schedule · outpatient · +3 other terms	24	$133	$130	$4	3%	—	$125 – $133
15	Optum fee schedule · outpatient · +1 other terms	24	$142	$161	$74	46%	—	$120 – $361
16	Oscar fee schedule · outpatient	24	$142	$136	$6	5%	—	$129 – $142
17	Amerihealth Caritas fee schedule · outpatient	16	$147	$147	$2	1%	—	$143 – $147
18	Caresource fee schedule · outpatient · +3 other terms	15	$123	$123	—	—	—	$123 – $123
19	Medicare fee schedule · outpatient	15	$125	$122	$4	3%	—	$118 – $128
20	Wellmark fee schedule · both · +1 other terms	13	$127	$158	$193	122%	—	$104 – $1.3k
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$1.3k	$1.3k	$349	26%	—	$671 – $1.6k
22	Bcbs Nj fee schedule · outpatient	12	$132	$285	$193	68%	—	$132 – $583
23	Highmark fee schedule · outpatient · +3 other terms	10	$304	$307	$358	117%	—	$57 – $993
24	Medica fee schedule · outpatient · +4 other terms	10	$1.9k	$1.8k	$601	34%	—	$227 – $2.4k
25	Medical Mutual fee schedule · outpatient	9	$220	$220	—	—	—	$220 – $220

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