Pediatric folding wheelchair, adjustable, no 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

Fld ped wc adjstabl w/o seat

Payers reporting HCPCS E1238

Payer pricing summary

Low

$45

Average

$876

Median

$505

High

$7.9k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	247	$234	$376	$403	107%	—	$158 – $1.8k
2	Aetna fee schedule · outpatient · +5 other terms	236	$236	$502	$1.3k	268%	—	$86 – $15.4k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	232	$236	$438	$461	105%	—	$97 – $2.2k
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	178	$238	$553	$1.1k	208%	—	$0 – $9.9k
5	WellCare fee schedule · outpatient · +1 other terms	169	$241	$249	$41	16%	—	$229 – $456
6	Devoted fee schedule · outpatient · +1 other terms	151	$234	$235	$4	2%	—	$224 – $247
7	Cigna Healthspring fee schedule · outpatient	104	$238	$237	$6	3%	—	$234 – $252
8	Molina fee schedule · outpatient · +3 other terms	89	$344	$324	$126	39%	—	$195 – $612
9	Cigna fee schedule · outpatient · +3 other terms	69	$241	$399	$885	222%	—	$224 – $6.8k
10	Superior Healthplan fee schedule · outpatient	39	$245	$245	—	—	—	$245 – $245
11	Anthem fee schedule · outpatient · +5 other terms	34	$234	$237	$25	11%	—	$224 – $380
12	Clover fee schedule · outpatient	32	$236	$237	$8	3%	—	$229 – $245
13	Bcbs Tx fee schedule · outpatient	31	$215	$220	$65	29%	—	$162 – $800
14	Kaiser fee schedule · outpatient · +3 other terms	24	$238	$233	$7	3%	—	$224 – $238
15	Optum fee schedule · outpatient · +1 other terms	24	$234	$272	$115	42%	—	$224 – $584
16	Oscar fee schedule · outpatient	24	$229	$236	$8	3%	—	$229 – $245
17	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$280	$278	$5	2%	—	$266 – $280
18	Caresource fee schedule · outpatient · +3 other terms	15	$234	$234	—	—	—	$234 – $234
19	Medicare fee schedule · outpatient	15	$224	$225	$1	0%	—	$224 – $229
20	Wellmark fee schedule · both · +1 other terms	13	$1.1k	$1.1k	$937	82%	—	$201 – $2.6k
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$2.1k	$2.2k	$564	26%	—	$1.1k – $2.6k
22	Bcbs Nj fee schedule · outpatient	12	$229	$494	$335	68%	—	$229 – $1.0k
23	Highmark fee schedule · outpatient · +3 other terms	10	$724	$731	$695	95%	—	$108 – $1.9k
24	Medica fee schedule · outpatient · +4 other terms	10	$3.0k	$2.9k	$971	34%	—	$367 – $3.9k
25	Medical Mutual fee schedule · outpatient	9	$419	$419	—	—	—	$419 – $419

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