Lightweight wheelchair with fixed arms

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 lightwt fixed arm

Payers reporting HCPCS E1250

Payer pricing summary

Low

Average

$521

Median

$411

High

$2.1k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	65	$384	$371	$209	56%	—	$64 – $704
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +5 other terms	34	$663	$1.1k	$942	89%	—	$0 – $5.0k
3	Aetna fee schedule · outpatient · +5 other terms	28	$650	$1.1k	$1.3k	114%	—	$28 – $5.2k
4	UnitedHealthcare fee schedule · both · +7 other terms	26	$269	$580	$513	88%	—	$36 – $1.8k
5	Anthem facility · case rate · outpatient · +4 other terms	15	$53	$58	$14	23%	—	$36 – $90
6	Caresource facility · case rate · outpatient · +1 other terms	15	$54	$58	$13	23%	—	$36 – $92
7	Cigna fee schedule · both · +3 other terms	15	$970	$862	$600	70%	—	$25 – $1.5k
8	Molina facility · case rate · outpatient · +2 other terms	15	$53	$58	$13	23%	—	$37 – $90
9	Wellmark fee schedule · both · +1 other terms	13	$30	$41	$97	233%	—	$6 – $850
10	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$2.1k	$1.6k	$900	57%	—	$663 – $2.6k
11	Regence fee schedule · outpatient · +1 other terms	12	$761	$824	$215	26%	—	$593 – $2.0k
12	Optum facility · case rate · outpatient	11	$50	$55	$12	22%	—	$45 – $81
13	Highmark fee schedule · outpatient · +1 other terms	10	$378	$378	$401	106%	—	$95 – $946
14	Medica fee schedule · outpatient · +4 other terms	10	$1.4k	$1.3k	$445	35%	—	$87 – $1.7k
15	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$329	$329	—	—	—	$329 – $329
16	First Health professional · fee schedule · both	3	$290	$290	$204	70%	—	$44 – $487
17	Kaiser fee schedule · both	2	$114	$114	—	—	—	$114 – $114
18	Tricare facility · fee schedule · outpatient	2	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
19	Bcbs Id facility · fee schedule · outpatient	1	$413	$413	—	—	—	$413 – $413
20	Bcbs Il professional · fee schedule · both	1	$490	$490	$360	74%	—	$129 – $850
21	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
22	Bcbs Nc facility · fee schedule · outpatient	1	$501	$501	$70	14%	—	$452 – $600
23	Bcbs Nv fee schedule · outpatient	1	$302	$302	$187	62%	—	$44 – $481
24	Bcbs Vt professional · fee schedule · outpatient	1	$240	$240	$149	62%	—	$35 – $383
25	Healthpartners facility · fee schedule · outpatient	1	$2.1k	$2.1k	—	—	—	$2.1k – $2.1k

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