Power wheelchair drive wheel gearbox replacement

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

Pwr wc drivewheel gear repl

Payers reporting HCPCS E2369

Payer pricing summary

Low

$11

Average

$186

Median

$98

High

$1.6k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +5 other terms	267	$48	$71	$72	101%	—	$34 – $344
2	Aetna fee schedule · outpatient · +5 other terms	259	$47	$101	$275	271%	—	$20 – $3.6k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$47	$90	$107	120%	—	$23 – $576
4	WellCare fee schedule · outpatient · +1 other terms	185	$48	$49	$8	16%	—	$44 – $87
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	181	$49	$137	$289	210%	—	$0 – $1.8k
6	Devoted fee schedule · outpatient · +1 other terms	165	$47	$47	$3	7%	—	$45 – $61
7	Cigna Healthspring fee schedule · outpatient	111	$49	$47	$3	6%	—	$45 – $58
8	Molina fee schedule · outpatient · +3 other terms	96	$67	$64	$24	37%	—	$40 – $140
9	Cigna fee schedule · outpatient · +3 other terms	77	$49	$75	$128	170%	—	$44 – $1.3k
10	Superior Healthplan fee schedule · outpatient	40	$47	$48	$2	3%	—	$47 – $56
11	Anthem fee schedule · outpatient · +5 other terms	38	$48	$52	$10	19%	—	$46 – $98
12	Clover fee schedule · outpatient	34	$47	$47	$4	8%	—	$44 – $56
13	Bcbs Tx fee schedule · outpatient	31	$50	$52	$16	30%	—	$39 – $194
14	Optum fee schedule · outpatient · +2 other terms	28	$49	$54	$17	32%	—	$45 – $113
15	Kaiser fee schedule · outpatient · +2 other terms	27	$49	$50	$3	6%	—	$46 – $56
16	Oscar fee schedule · outpatient	24	$44	$46	$2	5%	—	$44 – $49
17	Medicare fee schedule · outpatient	18	$49	$50	$4	7%	—	$46 – $56
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$56	$57	$2	4%	—	$53 – $64
19	Caresource fee schedule · outpatient · +3 other terms	15	$47	$47	—	—	—	$47 – $47
20	Wellmark fee schedule · both · +1 other terms	13	$259	$259	$212	82%	—	$36 – $471
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$485	$493	$128	26%	—	$245 – $589
22	Bcbs Nj fee schedule · outpatient	12	$44	$94	$64	68%	—	$44 – $193
23	MultiPlan facility · fee schedule · outpatient · +1 other terms	11	$157	$155	$6	4%	—	$135 – $157
24	Highmark fee schedule · outpatient · +3 other terms	10	$87	$89	$93	104%	—	$21 – $360
25	Medica fee schedule · outpatient · +4 other terms	10	$718	$684	$232	34%	—	$70 – $927

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