Foam-filled wheelchair caster tire

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

Foam filled caster tire each

Payers reporting HCPCS E2217

Payer pricing summary

Low

$19

Average

$49

Median

$46

High

$178

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +5 other terms	262	$48	$45	$17	38%	—	$5 – $195
2	Aetna fee schedule · outpatient · +5 other terms	258	$49	$55	$56	102%	—	$4 – $638
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$49	$38	$18	48%	—	$2 – $99
4	WellCare fee schedule · outpatient · +2 other terms	185	$50	$51	$8	16%	—	$45 – $90
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	179	$50	$56	$27	49%	—	$0 – $230
6	Devoted fee schedule · outpatient · +1 other terms	165	$49	$45	$10	22%	—	$5 – $57
7	Cigna Healthspring fee schedule · outpatient	111	$51	$48	$3	6%	—	$46 – $61
8	Molina fee schedule · outpatient · +3 other terms	96	$61	$55	$29	54%	—	$4 – $133
9	Cigna fee schedule · outpatient · +3 other terms	77	$50	$46	$28	62%	—	$5 – $153
10	Superior Healthplan fee schedule · outpatient	40	$49	$49	$1	2%	—	$49 – $53
11	Anthem fee schedule · outpatient · +5 other terms	38	$49	$35	$18	53%	—	$5 – $59
12	Clover fee schedule · outpatient	34	$49	$49	$4	8%	—	$45 – $60
13	Bcbs Tx fee schedule · outpatient	31	$46	$47	$14	29%	—	$35 – $174
14	Optum fee schedule · outpatient · +2 other terms	28	$49	$38	$24	64%	—	$5 – $116
15	Kaiser fee schedule · outpatient · +2 other terms	27	$50	$34	$18	54%	—	$5 – $51
16	Oscar fee schedule · outpatient	24	$46	$48	$3	6%	—	$46 – $51
17	Medicare fee schedule · outpatient	18	$30	$30	$18	61%	—	$5 – $51
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$58	$59	$2	3%	—	$56 – $65
19	Caresource fee schedule · outpatient · +3 other terms	15	$49	$49	—	—	—	$49 – $49
20	Wellmark fee schedule · both · +1 other terms	13	$25	$24	$20	82%	—	$4 – $45
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$93	$78	$33	42%	—	$48 – $117
22	Bcbs Nj fee schedule · outpatient	12	$45	$97	$66	68%	—	$45 – $200
23	MultiPlan facility · fee schedule · outpatient · +1 other terms	11	$18	$29	$37	125%	—	$18 – $146
24	Highmark fee schedule · outpatient · +3 other terms	10	$33	$34	$28	82%	—	$2 – $140
25	Medica fee schedule · outpatient · +4 other terms	10	$102	$97	$33	34%	—	$7 – $131

Page 1 of 2 · 49 payers