Replacement caster fork 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

Caster fork replacement only

Payers reporting HCPCS E2226

Payer pricing summary

Low

Average

$47

Median

$43

High

$160

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	267	$47	$42	$17	42%	—	$4 – $190
2	Aetna fee schedule · outpatient · +5 other terms	259	$48	$50	$36	72%	—	$2 – $352
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$48	$37	$18	48%	—	$2 – $66
4	WellCare fee schedule · outpatient · +2 other terms	185	$49	$51	$8	16%	—	$45 – $90
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	181	$49	$56	$24	43%	—	$0 – $174
6	Devoted fee schedule · outpatient · +1 other terms	165	$48	$45	$10	22%	—	$5 – $60
7	Cigna Healthspring fee schedule · outpatient	111	$49	$48	$2	5%	—	$47 – $58
8	Molina fee schedule · outpatient · +3 other terms	96	$59	$55	$30	55%	—	$4 – $140
9	Cigna fee schedule · outpatient · +3 other terms	77	$49	$43	$27	63%	—	$5 – $138
10	Superior Healthplan fee schedule · outpatient	40	$49	$50	$1	2%	—	$49 – $56
11	Anthem fee schedule · outpatient · +5 other terms	38	$47	$34	$18	53%	—	$5 – $55
12	Clover fee schedule · outpatient	34	$49	$48	$3	6%	—	$45 – $56
13	Bcbs Tx fee schedule · outpatient	31	$49	$50	$15	30%	—	$37 – $185
14	Optum fee schedule · outpatient · +2 other terms	28	$48	$38	$24	65%	—	$5 – $118
15	Kaiser fee schedule · outpatient · +2 other terms	27	$48	$33	$18	55%	—	$5 – $53
16	Oscar fee schedule · outpatient	24	$46	$48	$2	4%	—	$46 – $50
17	Medicare fee schedule · outpatient	18	$30	$30	$19	62%	—	$5 – $53
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$57	$57	$2	4%	—	$54 – $64
19	Caresource fee schedule · outpatient · +3 other terms	15	$48	$48	—	—	—	$48 – $48
20	Wellmark fee schedule · both · +1 other terms	13	$26	$26	$21	82%	—	$4 – $47
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$46	$47	$12	26%	—	$23 – $56
22	Bcbs Nj fee schedule · outpatient	12	$45	$98	$67	68%	—	$45 – $201
23	MultiPlan facility · fee schedule · outpatient · +2 other terms	11	$16	$26	$34	128%	—	$16 – $132
24	Highmark fee schedule · outpatient · +3 other terms	10	$31	$32	$26	82%	—	$2 – $127
25	Medica fee schedule · outpatient · +4 other terms	10	$92	$88	$30	34%	—	$7 – $119

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