Replacement power wheelchair controller and electronics

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

Non-expandable controller

Payers reporting HCPCS E2375

Payer pricing summary

Low

$20

Average

$321

Median

$178

High

$2.8k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +6 other terms	267	$87	$127	$128	100%	—	$59 – $611
2	Aetna fee schedule · outpatient · +5 other terms	259	$85	$185	$520	281%	—	$39 – $6.9k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	257	$84	$159	$198	125%	—	$40 – $1.1k
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	192	$89	$245	$513	209%	—	$0 – $3.4k
5	WellCare fee schedule · outpatient · +1 other terms	185	$84	$88	$14	16%	—	$78 – $156
6	Devoted fee schedule · outpatient · +1 other terms	165	$84	$84	$7	8%	—	$78 – $111
7	Cigna Healthspring fee schedule · outpatient	111	$87	$84	$5	7%	—	$80 – $106
8	Molina fee schedule · outpatient · +3 other terms	96	$118	$114	$43	37%	—	$67 – $256
9	Cigna fee schedule · outpatient · +3 other terms	77	$88	$136	$228	168%	—	$78 – $2.4k
10	Superior Healthplan fee schedule · outpatient	40	$84	$85	$3	4%	—	$84 – $103
11	Anthem fee schedule · outpatient · +5 other terms	38	$87	$92	$20	21%	—	$77 – $179
12	Clover fee schedule · outpatient	34	$84	$84	$7	8%	—	$78 – $103
13	Bcbs Tx fee schedule · outpatient	31	$93	$97	$29	30%	—	$73 – $360
14	Optum fee schedule · outpatient · +2 other terms	28	$89	$98	$31	32%	—	$78 – $201
15	Kaiser fee schedule · outpatient · +2 other terms	27	$83	$88	$10	11%	—	$78 – $103
16	Oscar fee schedule · outpatient	24	$79	$83	$5	6%	—	$79 – $88
17	Medicare fee schedule · outpatient	18	$89	$91	$11	13%	—	$78 – $103
18	Amerihealth Caritas fee schedule · outpatient	17	$101	$102	$5	5%	—	$96 – $117
19	Caresource fee schedule · outpatient · +3 other terms	15	$84	$84	—	—	—	$84 – $84
20	Wellmark fee schedule · both · +1 other terms	13	$473	$472	$386	82%	—	$59 – $860
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$886	$901	$233	26%	—	$447 – $1.1k
22	Bcbs Nj fee schedule · outpatient	12	$78	$169	$115	68%	—	$78 – $346
23	MultiPlan facility · fee schedule · outpatient · +2 other terms	11	$287	$284	$8	3%	—	$258 – $287
24	Highmark fee schedule · outpatient · +3 other terms	10	$163	$166	$174	105%	—	$37 – $676
25	Medica fee schedule · outpatient · +4 other terms	10	$1.1k	$1.1k	$367	34%	—	$125 – $1.5k

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