Replacement pneumatic tire for power wheelchair caster

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

Pneumatic caster tire

Payers reporting HCPCS E2384

Payer pricing summary

Low

Average

$77

Median

$71

High

$258

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	267	$75	$67	$29	43%	—	$5 – $304
2	Aetna fee schedule · outpatient · +5 other terms	259	$76	$85	$67	78%	—	$4 – $638
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$76	$61	$31	51%	—	$4 – $112
4	WellCare fee schedule · outpatient · +2 other terms	185	$78	$80	$12	15%	—	$67 – $134
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	181	$80	$97	$45	46%	—	$0 – $319
6	Devoted fee schedule · outpatient · +1 other terms	165	$76	$73	$17	23%	—	$8 – $103
7	Cigna Healthspring fee schedule · outpatient	111	$80	$76	$5	7%	—	$73 – $98
8	Molina fee schedule · outpatient · +3 other terms	96	$95	$86	$48	56%	—	$7 – $238
9	Cigna fee schedule · outpatient · +3 other terms	77	$78	$74	$49	66%	—	$7 – $222
10	Superior Healthplan fee schedule · outpatient	40	$76	$77	$3	4%	—	$76 – $95
11	Anthem fee schedule · outpatient · +5 other terms	38	$78	$59	$31	53%	—	$8 – $97
12	Clover fee schedule · outpatient	34	$76	$75	$8	11%	—	$67 – $95
13	Bcbs Tx fee schedule · outpatient	31	$87	$91	$28	31%	—	$69 – $340
14	Optum fee schedule · outpatient · +2 other terms	28	$76	$64	$39	62%	—	$8 – $181
15	Kaiser fee schedule · outpatient · +2 other terms	27	$80	$58	$32	56%	—	$8 – $97
16	Oscar fee schedule · outpatient	24	$71	$75	$4	6%	—	$71 – $80
17	Medicare fee schedule · outpatient	18	$53	$53	$34	63%	—	$8 – $97
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$91	$92	$5	6%	—	$87 – $109
19	Caresource fee schedule · outpatient · +3 other terms	15	$76	$76	—	—	—	$76 – $76
20	Wellmark fee schedule · both · +1 other terms	13	$44	$43	$35	82%	—	$6 – $79
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$78	$81	$21	26%	—	$40 – $97
22	Bcbs Nj fee schedule · outpatient	12	$67	$145	$99	68%	—	$67 – $298
23	MultiPlan facility · fee schedule · outpatient · +2 other terms	11	$27	$46	$62	134%	—	$27 – $244
24	Highmark fee schedule · outpatient · +3 other terms	10	$53	$55	$46	83%	—	$3 – $234
25	Medica fee schedule · outpatient · +4 other terms	10	$147	$141	$48	34%	—	$11 – $190

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