Replacement handrim for manual wheelchair

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

Manual wc accessory, handrim

Payers reporting HCPCS E2205

Payer pricing summary

Low

Average

$41

Median

$38

High

$143

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +5 other terms	267	$42	$37	$15	42%	—	$3 – $171
2	Aetna fee schedule · outpatient · +5 other terms	259	$43	$44	$31	71%	—	$2 – $301
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$43	$32	$16	50%	—	$2 – $57
4	WellCare fee schedule · outpatient · +2 other terms	185	$43	$45	$7	16%	—	$40 – $81
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	181	$44	$48	$21	43%	—	$0 – $150
6	Devoted fee schedule · outpatient · +1 other terms	165	$43	$40	$9	22%	—	$4 – $53
7	Cigna Healthspring fee schedule · outpatient	111	$44	$43	$2	5%	—	$41 – $50
8	Molina fee schedule · outpatient · +3 other terms	96	$53	$48	$27	55%	—	$3 – $122
9	Cigna fee schedule · outpatient · +3 other terms	77	$43	$38	$24	63%	—	$4 – $123
10	Superior Healthplan fee schedule · outpatient	40	$44	$44	$1	2%	—	$44 – $49
11	Anthem fee schedule · outpatient · +5 other terms	38	$41	$30	$16	53%	—	$4 – $48
12	Clover fee schedule · outpatient	34	$44	$43	$3	6%	—	$40 – $49
13	Bcbs Tx fee schedule · outpatient	31	$42	$43	$13	29%	—	$32 – $159
14	Optum fee schedule · outpatient · +2 other terms	28	$43	$33	$21	65%	—	$4 – $104
15	Kaiser fee schedule · outpatient · +2 other terms	27	$42	$29	$16	55%	—	$4 – $46
16	Oscar fee schedule · outpatient	24	$41	$43	$2	5%	—	$41 – $45
17	Medicare fee schedule · outpatient	18	$26	$26	$16	62%	—	$4 – $46
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$51	$51	$1	3%	—	$49 – $56
19	Caresource fee schedule · outpatient · +3 other terms	15	$43	$43	—	—	—	$43 – $43
20	Wellmark fee schedule · both · +1 other terms	13	$22	$22	$18	82%	—	$3 – $40
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$40	$41	$11	26%	—	$20 – $49
22	Bcbs Nj fee schedule · outpatient	12	$40	$87	$59	68%	—	$40 – $179
23	MultiPlan facility · fee schedule · outpatient · +1 other terms	11	$14	$23	$29	127%	—	$14 – $114
24	Highmark fee schedule · outpatient · +3 other terms	10	$27	$28	$23	82%	—	$2 – $109
25	Medica fee schedule · outpatient · +4 other terms	10	$82	$78	$26	34%	—	$6 – $105

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