Replacement solid caster tire 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

Solid caster tire

Payers reporting HCPCS E2391

Payer pricing summary

Low

Average

$22

Median

$19

High

$71

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	267	$21	$19	$8	43%	—	$1 – $85
2	Aetna fee schedule · outpatient · +5 other terms	259	$21	$23	$18	75%	—	$1 – $162
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$21	$17	$8	50%	—	$1 – $30
4	WellCare fee schedule · outpatient · +2 other terms	185	$22	$23	$4	16%	—	$20 – $40
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	181	$22	$26	$11	44%	—	$0 – $81
6	Devoted fee schedule · outpatient · +1 other terms	165	$21	$20	$5	22%	—	$2 – $28
7	Cigna Healthspring fee schedule · outpatient	111	$22	$22	$1	5%	—	$21 – $26
8	Molina fee schedule · outpatient · +3 other terms	96	$26	$24	$13	56%	—	$2 – $64
9	Cigna fee schedule · outpatient · +3 other terms	77	$21	$20	$13	65%	—	$2 – $61
10	Superior Healthplan fee schedule · outpatient	40	$22	$22	$1	3%	—	$22 – $26
11	Anthem fee schedule · outpatient · +5 other terms	38	$22	$16	$8	53%	—	$2 – $25
12	Clover fee schedule · outpatient	34	$22	$22	$1	7%	—	$20 – $26
13	Bcbs Tx fee schedule · outpatient	31	$23	$24	$7	30%	—	$18 – $88
14	Optum fee schedule · outpatient · +2 other terms	28	$21	$17	$11	64%	—	$2 – $52
15	Kaiser fee schedule · outpatient · +2 other terms	27	$22	$15	$9	56%	—	$2 – $26
16	Oscar fee schedule · outpatient	24	$21	$21	$1	4%	—	$21 – $22
17	Medicare fee schedule · outpatient	18	$14	$14	$9	62%	—	$2 – $26
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$25	$26	$1	4%	—	$24 – $29
19	Caresource fee schedule · outpatient · +3 other terms	15	$21	$21	—	—	—	$21 – $21
20	Wellmark fee schedule · both · +1 other terms	13	$12	$12	$10	82%	—	$2 – $21
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$21	$22	$6	26%	—	$11 – $26
22	Bcbs Nj fee schedule · outpatient	12	$20	$44	$30	68%	—	$20 – $90
23	MultiPlan facility · fee schedule · outpatient · +2 other terms	11	$7	$12	$16	129%	—	$7 – $62
24	Highmark fee schedule · outpatient · +3 other terms	10	$14	$15	$12	83%	—	$1 – $61
25	Medica fee schedule · outpatient · +4 other terms	10	$40	$39	$13	34%	—	$3 – $52

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