Pediatric rigid wheelchair with adjustable seating 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

Rigid ped wc adjustable

Payers reporting HCPCS E1235

Payer pricing summary

Low

$51

Average

$992

Median

$572

High

$9.0k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	247	$265	$426	$457	107%	—	$179 – $2.0k
2	Aetna fee schedule · outpatient · +5 other terms	236	$267	$569	$1.5k	268%	—	$98 – $17.4k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	232	$267	$490	$502	102%	—	$110 – $2.4k
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	178	$270	$627	$1.3k	208%	—	$0 – $11.2k
5	WellCare fee schedule · outpatient · +1 other terms	169	$273	$282	$46	16%	—	$260 – $516
6	Devoted fee schedule · outpatient · +1 other terms	151	$265	$266	$5	2%	—	$254 – $280
7	Cigna Healthspring fee schedule · outpatient	104	$270	$269	$7	3%	—	$265 – $286
8	Molina fee schedule · outpatient · +3 other terms	89	$390	$367	$142	39%	—	$221 – $694
9	Cigna fee schedule · outpatient · +3 other terms	69	$273	$452	$1.0k	222%	—	$254 – $7.8k
10	Superior Healthplan fee schedule · outpatient	39	$278	$278	—	—	—	$278 – $278
11	Anthem fee schedule · outpatient · +5 other terms	34	$265	$268	$28	11%	—	$254 – $431
12	Clover fee schedule · outpatient	32	$267	$269	$9	3%	—	$260 – $278
13	Bcbs Tx fee schedule · outpatient	31	$244	$249	$73	29%	—	$183 – $906
14	Kaiser fee schedule · outpatient · +3 other terms	24	$270	$264	$7	3%	—	$254 – $270
15	Optum fee schedule · outpatient · +1 other terms	24	$265	$309	$131	42%	—	$254 – $662
16	Oscar fee schedule · outpatient	24	$259	$267	$9	3%	—	$259 – $278
17	Amerihealth Caritas fee schedule · outpatient	16	$318	$315	$6	2%	—	$302 – $318
18	Caresource fee schedule · outpatient · +3 other terms	15	$265	$265	—	—	—	$265 – $265
19	Medicare fee schedule · outpatient	15	$254	$255	$1	0%	—	$254 – $260
20	Wellmark fee schedule · both · +1 other terms	13	$1.3k	$1.3k	$1.1k	82%	—	$190 – $2.5k
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$2.4k	$2.5k	$639	26%	—	$1.2k – $3.0k
22	Bcbs Nj fee schedule · outpatient	12	$260	$560	$380	68%	—	$260 – $1.1k
23	Highmark fee schedule · outpatient · +3 other terms	10	$821	$828	$788	95%	—	$122 – $2.1k
24	Medica fee schedule · outpatient · +4 other terms	10	$3.4k	$3.3k	$1.1k	34%	—	$416 – $4.4k
25	Medical Mutual fee schedule · outpatient	9	$475	$475	—	—	—	$475 – $475

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