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, integrate

Payers reporting HCPCS E2392

Payer pricing summary

Low

Average

$53

Median

$48

High

$173

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	267	$50	$45	$20	43%	—	$4 – $205
2	Aetna fee schedule · outpatient · +5 other terms	259	$51	$58	$45	78%	—	$2 – $430
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$51	$42	$21	50%	—	$3 – $76
4	WellCare fee schedule · outpatient · +2 other terms	185	$52	$54	$10	18%	—	$48 – $101
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	181	$54	$65	$30	47%	—	$0 – $213
6	Devoted fee schedule · outpatient · +1 other terms	165	$51	$49	$11	23%	—	$5 – $69
7	Cigna Healthspring fee schedule · outpatient	111	$53	$51	$3	7%	—	$49 – $66
8	Molina fee schedule · outpatient · +3 other terms	96	$64	$58	$32	55%	—	$4 – $161
9	Cigna fee schedule · outpatient · +3 other terms	77	$53	$51	$33	63%	—	$5 – $149
10	Superior Healthplan fee schedule · outpatient	40	$52	$52	$2	4%	—	$52 – $64
11	Anthem fee schedule · outpatient · +5 other terms	38	$50	$39	$21	54%	—	$5 – $65
12	Clover fee schedule · outpatient	34	$52	$53	$4	7%	—	$51 – $64
13	Bcbs Tx fee schedule · outpatient	31	$58	$61	$19	31%	—	$46 – $227
14	Optum fee schedule · outpatient · +2 other terms	28	$51	$42	$26	63%	—	$5 – $123
15	Kaiser fee schedule · outpatient · +2 other terms	27	$51	$38	$21	56%	—	$5 – $65
16	Oscar fee schedule · outpatient	24	$48	$51	$3	5%	—	$48 – $54
17	Medicare fee schedule · outpatient	18	$34	$35	$22	63%	—	$5 – $65
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$61	$62	$4	6%	—	$58 – $74
19	Caresource fee schedule · outpatient · +3 other terms	15	$51	$51	—	—	—	$51 – $51
20	Wellmark fee schedule · both · +1 other terms	13	$30	$30	$24	82%	—	$5 – $54
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$53	$54	$14	26%	—	$27 – $65
22	Bcbs Nj fee schedule · outpatient	12	$51	$110	$74	68%	—	$51 – $225
23	MultiPlan facility · fee schedule · outpatient · +2 other terms	11	$18	$31	$41	133%	—	$18 – $162
24	Highmark fee schedule · outpatient · +3 other terms	10	$37	$38	$31	83%	—	$2 – $156
25	Medica fee schedule · outpatient · +4 other terms	10	$99	$95	$32	34%	—	$8 – $128

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