Replacement solid rubber caster tire 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

Solid caster tire repl, each

Payers reporting HCPCS E2221

Payer pricing summary

Low

Average

$32

Median

$29

High

$109

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	267	$32	$28	$12	42%	—	$2 – $129
2	Aetna fee schedule · outpatient · +5 other terms	259	$32	$34	$24	72%	—	$1 – $233
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$32	$25	$12	48%	—	$2 – $44
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	190	$33	$38	$16	43%	—	$0 – $117
5	WellCare fee schedule · outpatient · +2 other terms	185	$33	$34	$5	16%	—	$31 – $61
6	Devoted fee schedule · outpatient · +1 other terms	165	$32	$31	$7	22%	—	$3 – $41
7	Cigna Healthspring fee schedule · outpatient	111	$33	$33	$2	5%	—	$32 – $39
8	Molina fee schedule · outpatient · +3 other terms	96	$40	$37	$20	55%	—	$3 – $94
9	Cigna fee schedule · outpatient · +3 other terms	77	$33	$29	$18	63%	—	$3 – $94
10	Superior Healthplan fee schedule · outpatient	40	$33	$33	$1	2%	—	$33 – $38
11	Anthem fee schedule · outpatient · +5 other terms	38	$32	$23	$12	53%	—	$3 – $37
12	Clover fee schedule · outpatient	34	$33	$33	$2	6%	—	$31 – $38
13	Bcbs Tx fee schedule · outpatient	31	$33	$34	$10	30%	—	$25 – $125
14	Optum fee schedule · outpatient · +2 other terms	28	$32	$25	$16	64%	—	$3 – $79
15	Kaiser fee schedule · outpatient · +3 other terms	27	$32	$23	$12	55%	—	$3 – $36
16	Oscar fee schedule · outpatient	24	$31	$32	$1	4%	—	$31 – $34
17	Medicare fee schedule · outpatient	18	$20	$20	$13	62%	—	$3 – $36
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$39	$39	$1	4%	—	$37 – $43
19	Caresource fee schedule · outpatient · +3 other terms	15	$32	$32	—	—	—	$32 – $32
20	Wellmark fee schedule · both · +1 other terms	13	$17	$17	$14	82%	—	$2 – $31
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$31	$32	$8	26%	—	$16 – $38
22	Bcbs Nj fee schedule · outpatient	12	$31	$66	$45	68%	—	$31 – $135
23	MultiPlan facility · fee schedule · outpatient · +2 other terms	11	$11	$18	$23	127%	—	$11 – $89
24	Highmark fee schedule · outpatient · +3 other terms	10	$21	$21	$18	82%	—	$1 – $86
25	Medica fee schedule · outpatient · +4 other terms	10	$62	$60	$20	34%	—	$5 – $81

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