Replacement inner tube insert for power wheelchair tire

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

Insert, pneum wheel drive

Payers reporting HCPCS E2383

Payer pricing summary

Low

Average

$154

Median

$141

High

$512

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	267	$149	$135	$57	42%	—	$11 – $600
2	Aetna fee schedule · outpatient · +5 other terms	259	$154	$171	$129	76%	—	$7 – $1.2k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$152	$122	$61	50%	—	$8 – $220
4	WellCare fee schedule · outpatient · +2 other terms	185	$159	$165	$27	16%	—	$148 – $294
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	181	$155	$188	$84	45%	—	$0 – $599
6	Devoted fee schedule · outpatient · +1 other terms	165	$154	$149	$33	22%	—	$15 – $202
7	Cigna Healthspring fee schedule · outpatient	111	$161	$157	$7	4%	—	$150 – $193
8	Molina fee schedule · outpatient · +3 other terms	96	$188	$176	$99	56%	—	$13 – $468
9	Cigna fee schedule · outpatient · +3 other terms	77	$155	$146	$95	65%	—	$15 – $441
10	Superior Healthplan fee schedule · outpatient	40	$162	$163	$4	3%	—	$162 – $188
11	Anthem fee schedule · outpatient · +5 other terms	38	$155	$116	$62	53%	—	$15 – $184
12	Clover fee schedule · outpatient	34	$156	$156	$11	7%	—	$148 – $188
13	Bcbs Tx fee schedule · outpatient	31	$168	$175	$52	30%	—	$131 – $647
14	Optum fee schedule · outpatient · +2 other terms	28	$150	$125	$80	63%	—	$15 – $385
15	Kaiser fee schedule · outpatient · +2 other terms	27	$164	$114	$64	56%	—	$15 – $188
16	Oscar fee schedule · outpatient	24	$151	$154	$3	2%	—	$151 – $158
17	Medicare fee schedule · outpatient	18	$103	$104	$65	62%	—	$15 – $188
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$180	$182	$10	6%	—	$171 – $215
19	Caresource fee schedule · outpatient · +3 other terms	15	$150	$150	—	—	—	$150 – $150
20	Wellmark fee schedule · both · +1 other terms	13	$86	$85	$70	82%	—	$12 – $156
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$154	$158	$41	26%	—	$78 – $188
22	Bcbs Nj fee schedule · outpatient	12	$148	$318	$216	68%	—	$148 – $653
23	MultiPlan facility · fee schedule · outpatient · +2 other terms	11	$52	$89	$116	130%	—	$52 – $457
24	Highmark fee schedule · outpatient · +3 other terms	10	$105	$109	$90	83%	—	$7 – $451
25	Medica fee schedule · outpatient · +4 other terms	10	$292	$280	$94	34%	—	$24 – $377

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