Pneumatic tire for manual wheelchair caster

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

Pneumatic caster tire each

Payers reporting HCPCS E2214

Payer pricing summary

Low

Average

$40

Median

$37

High

$136

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	267	$38	$34	$14	41%	—	$3 – $152
2	Aetna fee schedule · outpatient · +5 other terms	259	$39	$44	$35	81%	—	$2 – $398
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$38	$31	$15	48%	—	$2 – $62
4	WellCare fee schedule · outpatient · +2 other terms	185	$40	$41	$7	17%	—	$37 – $76
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	181	$40	$46	$21	45%	—	$0 – $165
6	Devoted fee schedule · outpatient · +1 other terms	165	$38	$37	$8	22%	—	$4 – $50
7	Cigna Healthspring fee schedule · outpatient	111	$41	$39	$2	4%	—	$38 – $47
8	Molina fee schedule · outpatient · +3 other terms	96	$49	$46	$25	55%	—	$3 – $114
9	Cigna fee schedule · outpatient · +3 other terms	77	$39	$38	$24	65%	—	$4 – $117
10	Superior Healthplan fee schedule · outpatient	40	$40	$40	$1	2%	—	$40 – $46
11	Anthem fee schedule · outpatient · +5 other terms	38	$39	$30	$16	53%	—	$4 – $50
12	Clover fee schedule · outpatient	34	$40	$40	$2	5%	—	$38 – $46
13	Bcbs Tx fee schedule · outpatient	31	$39	$41	$12	29%	—	$30 – $149
14	Optum fee schedule · outpatient · +2 other terms	28	$38	$33	$20	62%	—	$4 – $96
15	Kaiser fee schedule · outpatient · +3 other terms	27	$41	$30	$16	55%	—	$4 – $50
16	Oscar fee schedule · outpatient	24	$38	$39	$1	3%	—	$38 – $40
17	Medicare fee schedule · outpatient	18	$27	$26	$16	62%	—	$4 – $50
18	Amerihealth Caritas fee schedule · outpatient	17	$46	$46	$2	4%	—	$43 – $52
19	Caresource fee schedule · outpatient · +3 other terms	15	$38	$38	—	—	—	$38 – $38
20	Wellmark fee schedule · both · +1 other terms	13	$23	$23	$19	82%	—	$3 – $42
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$41	$42	$11	26%	—	$21 – $50
22	Bcbs Nj fee schedule · outpatient	12	$38	$82	$56	68%	—	$38 – $168
23	MultiPlan facility · fee schedule · outpatient · +3 other terms	11	$15	$25	$32	129%	—	$15 – $126
24	Highmark fee schedule · outpatient · +3 other terms	10	$28	$29	$24	82%	—	$2 – $121
25	Medica fee schedule · outpatient · +4 other terms	10	$78	$74	$25	34%	—	$6 – $101

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