Replacement expandable controller for power 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

Expandable controller, repl

Payers reporting HCPCS E2376

Payer pricing summary

Low

$32

Average

$557

Median

$305

High

$5.2k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	267	$155	$235	$241	103%	—	$117 – $1.2k
2	Aetna fee schedule · outpatient · +5 other terms	259	$157	$315	$800	254%	—	$61 – $10.5k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	257	$157	$298	$345	116%	—	$76 – $1.7k
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	192	$163	$411	$857	208%	—	$0 – $5.4k
5	WellCare fee schedule · outpatient · +1 other terms	185	$160	$166	$26	16%	—	$151 – $301
6	Devoted fee schedule · outpatient · +1 other terms	165	$155	$157	$5	3%	—	$148 – $181
7	Cigna Healthspring fee schedule · outpatient	111	$162	$158	$5	3%	—	$155 – $173
8	Molina fee schedule · outpatient · +3 other terms	96	$226	$212	$80	38%	—	$129 – $419
9	Cigna fee schedule · outpatient · +3 other terms	77	$160	$240	$428	178%	—	$148 – $4.5k
10	Superior Healthplan fee schedule · outpatient	40	$163	$163	$1	1%	—	$163 – $168
11	Anthem fee schedule · outpatient · +5 other terms	38	$155	$163	$28	17%	—	$148 – $293
12	Clover fee schedule · outpatient	34	$162	$158	$6	4%	—	$151 – $168
13	Bcbs Tx fee schedule · outpatient	31	$153	$158	$46	29%	—	$117 – $579
14	Optum fee schedule · outpatient · +2 other terms	28	$155	$174	$62	36%	—	$148 – $388
15	Kaiser fee schedule · outpatient · +2 other terms	27	$158	$156	$5	3%	—	$148 – $168
16	Oscar fee schedule · outpatient	24	$152	$157	$5	3%	—	$152 – $163
17	Medicare fee schedule · outpatient	18	$153	$154	$6	4%	—	$148 – $168
18	Amerihealth Caritas fee schedule · outpatient	17	$186	$185	$3	2%	—	$177 – $192
19	Caresource fee schedule · outpatient · +3 other terms	15	$155	$155	—	—	—	$155 – $155
20	Wellmark fee schedule · both · +1 other terms	13	$774	$774	$634	82%	—	$110 – $1.4k
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$1.4k	$1.5k	$382	26%	—	$732 – $1.8k
22	Bcbs Nj fee schedule · outpatient	12	$151	$326	$221	68%	—	$151 – $669
23	MultiPlan facility · fee schedule · outpatient · +2 other terms	11	$469	$463	$19	4%	—	$404 – $469
24	Highmark fee schedule · outpatient · +3 other terms	10	$287	$292	$326	112%	—	$71 – $1.2k
25	Medica fee schedule · outpatient · +4 other terms	10	$2.3k	$2.2k	$740	34%	—	$241 – $3.0k

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