Wheelchair with special height backrest

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 sz spec ht b

Payers reporting HCPCS E1228

Payer pricing summary

Low

Average

$130

Median

$67

High

$1.2k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +6 other terms	247	$35	$61	$69	114%	—	$27 – $307
2	Aetna fee schedule · outpatient · +5 other terms	236	$36	$78	$204	262%	—	$13 – $2.3k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	231	$35	$67	$61	91%	—	$17 – $294
4	WellCare fee schedule · outpatient · +1 other terms	169	$39	$40	$6	15%	—	$33 – $66
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	167	$37	$88	$176	199%	—	$0 – $1.3k
6	Devoted fee schedule · outpatient · +1 other terms	151	$36	$38	$3	8%	—	$33 – $42
7	Cigna Healthspring fee schedule · outpatient	104	$37	$39	$2	5%	—	$34 – $42
8	Molina fee schedule · outpatient · +3 other terms	89	$59	$54	$22	40%	—	$33 – $105
9	Cigna fee schedule · outpatient · +3 other terms	69	$37	$59	$128	215%	—	$33 – $992
10	Superior Healthplan fee schedule · outpatient	39	$42	$42	—	—	—	$42 – $42
11	Anthem fee schedule · outpatient · +5 other terms	34	$34	$36	$5	13%	—	$33 – $56
12	Clover fee schedule · outpatient	32	$34	$36	$3	9%	—	$33 – $42
13	Bcbs Tx fee schedule · outpatient	31	$37	$38	$11	29%	—	$28 – $137
14	Kaiser fee schedule · outpatient · +3 other terms	24	$35	$34	$1	3%	—	$33 – $35
15	Optum fee schedule · outpatient · +1 other terms	24	$34	$43	$21	50%	—	$33 – $100
16	Oscar fee schedule · outpatient	24	$39	$38	$2	5%	—	$36 – $39
17	Amerihealth Caritas fee schedule · outpatient	16	$41	$40	$1	2%	—	$39 – $41
18	Caresource fee schedule · outpatient · +3 other terms	15	$34	$34	—	—	—	$34 – $34
19	Medicare fee schedule · outpatient	15	$33	$35	$3	8%	—	$33 – $38
20	Wellmark fee schedule · both · +1 other terms	13	$194	$193	$158	82%	—	$24 – $352
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$312	$316	$82	26%	—	$158 – $380
22	Bcbs Nj fee schedule · outpatient	12	$33	$72	$49	68%	—	$33 – $147
23	Highmark fee schedule · outpatient · +3 other terms	10	$84	$85	$99	117%	—	$16 – $275
24	Medica fee schedule · outpatient · +4 other terms	10	$518	$494	$166	34%	—	$62 – $669
25	Medical Mutual fee schedule · outpatient	9	$61	$61	—	—	—	$61 – $61

Page 1 of 2 · 46 payers