Wheelchair with removable arms and elevating 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 spec size w/ leg

Payers reporting HCPCS E1224

Payer pricing summary

Low

Average

$374

Median

$213

High

$3.3k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	247	$113	$179	$202	113%	—	$78 – $890
2	Aetna fee schedule · outpatient · +5 other terms	236	$113	$235	$622	265%	—	$36 – $7.0k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	232	$113	$202	$202	100%	—	$48 – $928
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	178	$110	$242	$474	196%	—	$0 – $4.0k
5	WellCare fee schedule · outpatient · +1 other terms	169	$114	$120	$22	18%	—	$98 – $226
6	Devoted fee schedule · outpatient · +1 other terms	151	$111	$112	$7	6%	—	$98 – $122
7	Cigna Healthspring fee schedule · outpatient	104	$111	$114	$5	4%	—	$98 – $120
8	Molina fee schedule · outpatient · +3 other terms	89	$170	$160	$62	39%	—	$82 – $303
9	Cigna fee schedule · outpatient · +3 other terms	69	$107	$178	$371	208%	—	$100 – $2.9k
10	Superior Healthplan fee schedule · outpatient	39	$121	$121	—	—	—	$121 – $121
11	Anthem fee schedule · outpatient · +5 other terms	34	$111	$113	$14	12%	—	$98 – $172
12	Clover fee schedule · outpatient	32	$117	$118	$4	3%	—	$113 – $121
13	Bcbs Tx fee schedule · outpatient	31	$107	$109	$32	29%	—	$80 – $396
14	Kaiser fee schedule · outpatient · +3 other terms	24	$113	$110	$3	3%	—	$107 – $113
15	Optum fee schedule · outpatient · +1 other terms	24	$107	$127	$60	47%	—	$96 – $289
16	Oscar fee schedule · outpatient	24	$113	$109	$5	5%	—	$103 – $113
17	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$118	$117	$2	2%	—	$112 – $118
18	Caresource fee schedule · outpatient · +3 other terms	15	$98	$98	—	—	—	$98 – $98
19	Medicare fee schedule · outpatient	15	$107	$101	$6	6%	—	$94 – $109
20	Wellmark fee schedule · both · +1 other terms	13	$98	$123	$155	126%	—	$83 – $1.1k
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$904	$916	$237	26%	—	$457 – $1.1k
22	Bcbs Nj fee schedule · outpatient	12	$113	$245	$166	68%	—	$113 – $502
23	Highmark fee schedule · outpatient · +3 other terms	10	$286	$289	$338	117%	—	$53 – $935
24	Medica fee schedule · outpatient · +4 other terms	10	$1.5k	$1.4k	$484	34%	—	$159 – $1.9k
25	Medical Mutual fee schedule · outpatient	9	$208	$208	—	—	—	$208 – $208

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