Heavy-duty wheelchair with fixed arms and elevating legrest

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 heavy duty fixed

Payers reporting HCPCS E1295

Payer pricing summary

Low

Average

$577

Median

$314

High

$5.0k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	247	$171	$263	$295	112%	—	$110 – $1.3k
2	Aetna fee schedule · outpatient · +5 other terms	236	$170	$360	$1.0k	279%	—	$54 – $11.5k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	232	$170	$312	$330	106%	—	$72 – $1.6k
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	178	$176	$388	$786	203%	—	$0 – $6.0k
5	WellCare fee schedule · outpatient · +1 other terms	169	$178	$179	$31	17%	—	$147 – $329
6	Devoted fee schedule · outpatient · +1 other terms	151	$173	$169	$11	6%	—	$147 – $183
7	Cigna Healthspring fee schedule · outpatient	104	$170	$169	$8	5%	—	$147 – $177
8	Molina fee schedule · outpatient · +3 other terms	89	$255	$238	$94	40%	—	$123 – $454
9	Cigna fee schedule · outpatient · +3 other terms	69	$175	$275	$554	202%	—	$152 – $4.3k
10	Superior Healthplan fee schedule · outpatient	39	$182	$182	—	—	—	$182 – $182
11	Anthem fee schedule · outpatient · +5 other terms	34	$171	$169	$21	13%	—	$147 – $282
12	Clover fee schedule · outpatient	32	$165	$167	$11	6%	—	$153 – $182
13	Bcbs Tx fee schedule · outpatient	31	$160	$163	$48	29%	—	$120 – $593
14	Kaiser fee schedule · outpatient · +3 other terms	24	$177	$172	$5	3%	—	$166 – $177
15	Optum fee schedule · outpatient · +1 other terms	24	$171	$199	$87	44%	—	$147 – $433
16	Oscar fee schedule · outpatient	24	$170	$163	$7	5%	—	$155 – $170
17	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$177	$177	$1	1%	—	$177 – $179
18	Caresource fee schedule · outpatient · +3 other terms	15	$147	$147	—	—	—	$147 – $147
19	Medicare fee schedule · outpatient	15	$166	$155	$13	8%	—	$141 – $170
20	Wellmark fee schedule · both · +1 other terms	13	$840	$841	$689	82%	—	$124 – $1.6k
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$1.4k	$1.4k	$355	26%	—	$684 – $1.6k
22	Bcbs Nj fee schedule · outpatient	12	$165	$356	$242	68%	—	$165 – $731
23	Highmark fee schedule · outpatient · +3 other terms	10	$417	$422	$493	117%	—	$78 – $1.4k
24	Medica fee schedule · outpatient · +4 other terms	10	$2.2k	$2.1k	$723	34%	—	$247 – $2.9k
25	Medical Mutual fee schedule · outpatient	9	$303	$303	—	—	—	$303 – $303

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