Heavy-duty wheelchair with detachable arms and elevating leg rests

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

Whchr h-duty det arm leg res

Payers reporting HCPCS E1280

Payer pricing summary

Low

Average

$620

Median

$339

High

$5.4k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	247	$183	$289	$326	113%	—	$126 – $1.4k
2	Aetna fee schedule · outpatient · +5 other terms	236	$183	$356	$850	238%	—	$59 – $9.3k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	232	$183	$338	$363	107%	—	$78 – $1.8k
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	178	$181	$412	$835	203%	—	$0 – $6.5k
5	WellCare fee schedule · outpatient · +1 other terms	169	$186	$192	$32	17%	—	$159 – $341
6	Devoted fee schedule · outpatient · +1 other terms	151	$187	$181	$12	6%	—	$159 – $198
7	Cigna Healthspring fee schedule · outpatient	104	$187	$185	$8	4%	—	$159 – $195
8	Molina fee schedule · outpatient · +3 other terms	89	$275	$257	$102	40%	—	$132 – $490
9	Cigna fee schedule · outpatient · +3 other terms	69	$184	$293	$601	205%	—	$167 – $4.7k
10	Superior Healthplan fee schedule · outpatient	39	$196	$196	—	—	—	$196 – $196
11	Anthem fee schedule · outpatient · +5 other terms	34	$187	$187	$14	7%	—	$159 – $259
12	Clover fee schedule · outpatient	32	$172	$177	$11	6%	—	$169 – $196
13	Bcbs Tx fee schedule · outpatient	31	$172	$176	$52	29%	—	$130 – $640
14	Kaiser fee schedule · outpatient · +3 other terms	24	$191	$186	$5	3%	—	$180 – $191
15	Optum fee schedule · outpatient · +1 other terms	24	$180	$210	$96	46%	—	$159 – $468
16	Oscar fee schedule · outpatient	24	$183	$177	$8	5%	—	$167 – $183
17	Amerihealth Caritas fee schedule · outpatient	16	$191	$193	$5	3%	—	$191 – $204
18	Caresource fee schedule · outpatient · +3 other terms	15	$159	$159	—	—	—	$159 – $159
19	Medicare fee schedule · outpatient	15	$180	$167	$14	8%	—	$153 – $183
20	Wellmark fee schedule · both · +1 other terms	13	$880	$882	$722	82%	—	$134 – $1.7k
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$1.5k	$1.5k	$384	26%	—	$739 – $1.8k
22	Bcbs Nj fee schedule · outpatient	12	$172	$370	$251	68%	—	$172 – $759
23	Highmark fee schedule · outpatient · +3 other terms	10	$463	$468	$546	117%	—	$86 – $1.5k
24	Medica fee schedule · outpatient · +4 other terms	10	$2.4k	$2.3k	$783	34%	—	$258 – $3.1k
25	Medical Mutual fee schedule · outpatient	9	$336	$336	—	—	—	$336 – $336

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