Pediatric tilt-in-space wheelchair without seat system

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

Rig ped wc tltnspc w/o seat

Payers reporting HCPCS E1233

Payer pricing summary

Low

$61

Average

$1.1k

Median

$757

High

$5.5k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	247	$316	$508	$545	107%	—	$213 – $2.4k
2	Aetna fee schedule · outpatient · +5 other terms	236	$319	$678	$1.8k	268%	—	$116 – $20.8k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	232	$319	$585	$599	102%	—	$131 – $2.8k
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	178	$322	$747	$1.6k	208%	—	$0 – $13.4k
5	WellCare fee schedule · outpatient · +1 other terms	169	$325	$337	$55	16%	—	$310 – $616
6	Devoted fee schedule · outpatient · +1 other terms	151	$316	$317	$6	2%	—	$303 – $334
7	Cigna Healthspring fee schedule · outpatient	104	$322	$321	$9	3%	—	$316 – $341
8	Molina fee schedule · outpatient · +3 other terms	89	$465	$438	$170	39%	—	$263 – $827
9	Cigna fee schedule · outpatient · +3 other terms	69	$325	$539	$1.2k	222%	—	$303 – $9.2k
10	Superior Healthplan fee schedule · outpatient	39	$332	$332	—	—	—	$332 – $332
11	Anthem fee schedule · outpatient · +5 other terms	34	$316	$320	$34	11%	—	$303 – $514
12	Clover fee schedule · outpatient	32	$319	$321	$11	3%	—	$310 – $332
13	Bcbs Tx fee schedule · outpatient	31	$291	$298	$88	29%	—	$219 – $1.1k
14	Kaiser fee schedule · outpatient · +3 other terms	24	$322	$315	$9	3%	—	$303 – $322
15	Optum fee schedule · outpatient	24	$316	$368	$156	42%	—	$303 – $789
16	Oscar fee schedule · outpatient	24	$309	$319	$11	3%	—	$309 – $332
17	Amerihealth Caritas fee schedule · outpatient	16	$379	$375	$7	2%	—	$360 – $379
18	Caresource fee schedule · outpatient · +3 other terms	15	$316	$316	—	—	—	$316 – $316
19	Medicare fee schedule · outpatient	15	$303	$304	$1	0%	—	$303 – $310
20	Wellmark fee schedule · both · +1 other terms	13	$1.5k	$1.5k	$1.3k	82%	—	$272 – $3.5k
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$2.9k	$2.9k	$762	26%	—	$1.5k – $3.5k
22	Bcbs Nj fee schedule · outpatient	12	$310	$668	$453	68%	—	$310 – $1.4k
23	Highmark fee schedule · outpatient · +3 other terms	10	$979	$988	$940	95%	—	$145 – $2.6k
24	Medica fee schedule · outpatient · +4 other terms	10	$4.1k	$3.9k	$1.3k	34%	—	$497 – $5.3k
25	Medical Mutual fee schedule · outpatient	9	$567	$567	—	—	—	$567 – $567

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