Replacement solid rubber wheelchair 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

Solid propuls tire, repl, ea

Payers reporting HCPCS E2220

Payer pricing summary

Low

Average

$34

Median

$32

High

$119

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	267	$34	$30	$13	43%	—	$2 – $145
2	Aetna fee schedule · outpatient · +5 other terms	259	$35	$36	$27	73%	—	$1 – $298
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$35	$26	$13	49%	—	$2 – $49
4	WellCare fee schedule · outpatient · +2 other terms	185	$36	$37	$6	16%	—	$32 – $64
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	181	$37	$39	$16	42%	—	$0 – $126
6	Devoted fee schedule · outpatient · +1 other terms	165	$36	$33	$7	22%	—	$3 – $45
7	Cigna Healthspring fee schedule · outpatient	111	$36	$35	$2	6%	—	$34 – $43
8	Molina fee schedule · outpatient · +3 other terms	96	$45	$39	$22	56%	—	$3 – $91
9	Cigna fee schedule · outpatient · +3 other terms	77	$36	$30	$19	62%	—	$3 – $102
10	Superior Healthplan fee schedule · outpatient	40	$35	$35	$0	0%	—	$35 – $36
11	Anthem fee schedule · outpatient · +5 other terms	38	$36	$26	$14	53%	—	$3 – $40
12	Clover fee schedule · outpatient	34	$35	$35	$3	8%	—	$32 – $42
13	Bcbs Tx fee schedule · outpatient	31	$32	$33	$9	29%	—	$24 – $118
14	Optum fee schedule · outpatient · +2 other terms	28	$35	$28	$18	63%	—	$3 – $84
15	Kaiser fee schedule · outpatient · +3 other terms	27	$36	$25	$14	55%	—	$3 – $40
16	Oscar fee schedule · outpatient	24	$33	$35	$2	7%	—	$33 – $38
17	Medicare fee schedule · outpatient	18	$23	$23	$14	62%	—	$3 – $40
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$43	$44	$1	3%	—	$41 – $48
19	Caresource fee schedule · outpatient · +3 other terms	15	$36	$36	—	—	—	$36 – $36
20	Wellmark fee schedule · both · +1 other terms	13	$19	$19	$16	82%	—	$2 – $35
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$32	$32	$8	26%	—	$16 – $38
22	Bcbs Nj fee schedule · outpatient	12	$32	$70	$47	68%	—	$32 – $143
23	MultiPlan facility · fee schedule · outpatient · +3 other terms	11	$11	$19	$24	127%	—	$11 – $96
24	Highmark fee schedule · outpatient · +3 other terms	10	$21	$21	$17	82%	—	$2 – $81
25	Medica fee schedule · outpatient · +4 other terms	10	$68	$65	$22	34%	—	$5 – $88

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