Pediatric rigid wheelchair without 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

Rgd ped wc adjstabl w/o seat

Payers reporting HCPCS E1237

Payer pricing summary

Low

$45

Average

$804

Median

$512

High

$4.1k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	247	$236	$379	$407	107%	—	$159 – $1.8k
2	Aetna fee schedule · outpatient · +5 other terms	236	$238	$506	$1.4k	268%	—	$87 – $15.5k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	232	$238	$436	$447	102%	—	$98 – $2.1k
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	178	$240	$558	$1.2k	208%	—	$0 – $10.0k
5	WellCare fee schedule · outpatient · +1 other terms	169	$243	$251	$41	16%	—	$231 – $460
6	Devoted fee schedule · outpatient · +1 other terms	151	$236	$237	$4	2%	—	$226 – $249
7	Cigna Healthspring fee schedule · outpatient	104	$240	$240	$7	3%	—	$236 – $254
8	Molina fee schedule · outpatient · +3 other terms	89	$347	$327	$127	39%	—	$196 – $617
9	Cigna fee schedule · outpatient · +3 other terms	69	$243	$402	$893	222%	—	$226 – $6.9k
10	Superior Healthplan fee schedule · outpatient	39	$247	$247	—	—	—	$247 – $247
11	Anthem fee schedule · outpatient · +5 other terms	34	$236	$239	$25	11%	—	$226 – $384
12	Clover fee schedule · outpatient	32	$238	$239	$8	3%	—	$231 – $247
13	Bcbs Tx fee schedule · outpatient	31	$217	$222	$65	29%	—	$163 – $807
14	Kaiser fee schedule · outpatient · +3 other terms	24	$240	$235	$7	3%	—	$226 – $240
15	Optum fee schedule · outpatient · +1 other terms	24	$236	$275	$116	42%	—	$226 – $589
16	Oscar fee schedule · outpatient	24	$231	$238	$8	3%	—	$231 – $247
17	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$283	$280	$6	2%	—	$269 – $283
18	Caresource fee schedule · outpatient · +3 other terms	15	$236	$236	—	—	—	$236 – $236
19	Medicare fee schedule · outpatient	15	$226	$227	$1	0%	—	$226 – $231
20	Wellmark fee schedule · both · +1 other terms	13	$1.1k	$1.2k	$945	82%	—	$203 – $2.6k
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$2.2k	$2.2k	$569	26%	—	$1.1k – $2.6k
22	Bcbs Nj fee schedule · outpatient	12	$231	$498	$338	68%	—	$231 – $1.0k
23	Highmark fee schedule · outpatient · +3 other terms	10	$731	$737	$701	95%	—	$108 – $1.9k
24	Medica fee schedule · outpatient · +4 other terms	10	$3.1k	$2.9k	$980	34%	—	$370 – $3.9k
25	Medical Mutual fee schedule · outpatient	9	$423	$423	—	—	—	$423 – $423

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