Wheelchair foam propulsion 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 propulsion tire each

Payers reporting HCPCS E2218

Payer pricing summary

Low

$22

Average

$56

Median

$53

High

$201

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +5 other terms	262	$54	$50	$19	38%	—	$5 – $220
2	Aetna fee schedule · outpatient · +5 other terms	258	$55	$61	$55	91%	—	$4 – $720
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$55	$43	$21	48%	—	$3 – $112
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	188	$57	$63	$32	51%	—	$0 – $289
5	WellCare fee schedule · outpatient · +2 other terms	185	$57	$57	$9	16%	—	$51 – $101
6	Devoted fee schedule · outpatient · +1 other terms	165	$55	$51	$11	22%	—	$5 – $65
7	Cigna Healthspring fee schedule · outpatient	111	$57	$55	$3	6%	—	$53 – $69
8	Molina fee schedule · outpatient · +3 other terms	96	$69	$62	$33	54%	—	$5 – $150
9	Cigna fee schedule · outpatient · +3 other terms	77	$57	$52	$32	62%	—	$5 – $173
10	Superior Healthplan fee schedule · outpatient	40	$55	$55	$1	2%	—	$55 – $60
11	Anthem fee schedule · outpatient · +5 other terms	38	$55	$39	$21	53%	—	$5 – $66
12	Clover fee schedule · outpatient	34	$55	$55	$5	8%	—	$51 – $67
13	Bcbs Tx fee schedule · outpatient	31	$52	$54	$16	29%	—	$40 – $196
14	Optum fee schedule · outpatient · +2 other terms	28	$55	$42	$27	64%	—	$5 – $131
15	Kaiser fee schedule · outpatient · +2 other terms	27	$56	$38	$21	54%	—	$5 – $57
16	Oscar fee schedule · outpatient	24	$51	$54	$3	6%	—	$51 – $58
17	Medicare fee schedule · outpatient	18	$34	$34	$21	61%	—	$5 – $57
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$66	$66	$2	3%	—	$63 – $73
19	Caresource fee schedule · outpatient · +3 other terms	15	$55	$55	—	—	—	$55 – $55
20	Wellmark fee schedule · both · +1 other terms	13	$28	$28	$23	82%	—	$4 – $51
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$112	$93	$40	44%	—	$56 – $141
22	Bcbs Nj fee schedule · outpatient	12	$51	$110	$75	68%	—	$51 – $226
23	MultiPlan facility · fee schedule · outpatient · +1 other terms	11	$20	$33	$42	125%	—	$20 – $165
24	Highmark fee schedule · outpatient · +3 other terms	10	$39	$40	$32	79%	—	$2 – $158
25	Medica fee schedule · outpatient · +4 other terms	10	$115	$109	$38	34%	—	$8 – $148

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