Power wheelchair drive wheel replacement part

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

Drive wheel excludes tire

Payers reporting HCPCS E2394

Payer pricing summary

Low

Average

$75

Median

$67

High

$238

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +6 other terms	267	$70	$63	$27	43%	—	$5 – $284
2	Aetna fee schedule · outpatient · +5 other terms	259	$71	$81	$64	79%	—	$3 – $614
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$72	$58	$29	51%	—	$4 – $106
4	WellCare fee schedule · outpatient · +2 other terms	185	$73	$76	$13	16%	—	$68 – $135
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	181	$74	$91	$42	46%	—	$0 – $303
6	Devoted fee schedule · outpatient · +1 other terms	165	$71	$69	$16	23%	—	$7 – $97
7	Cigna Healthspring fee schedule · outpatient	111	$74	$72	$4	6%	—	$70 – $93
8	Molina fee schedule · outpatient · +3 other terms	96	$90	$82	$46	56%	—	$6 – $226
9	Cigna fee schedule · outpatient · +3 other terms	77	$73	$71	$45	64%	—	$7 – $205
10	Superior Healthplan fee schedule · outpatient	40	$74	$74	$3	4%	—	$74 – $90
11	Anthem fee schedule · outpatient · +5 other terms	38	$70	$54	$29	54%	—	$7 – $92
12	Clover fee schedule · outpatient	34	$74	$73	$6	8%	—	$68 – $90
13	Bcbs Tx fee schedule · outpatient	31	$83	$86	$26	31%	—	$65 – $323
14	Optum fee schedule · outpatient · +2 other terms	28	$71	$59	$37	63%	—	$7 – $175
15	Kaiser fee schedule · outpatient · +2 other terms	27	$70	$53	$30	56%	—	$7 – $92
16	Oscar fee schedule · outpatient	24	$69	$71	$3	4%	—	$69 – $75
17	Medicare fee schedule · outpatient	18	$48	$49	$31	64%	—	$7 – $92
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$85	$87	$5	6%	—	$81 – $103
19	Caresource fee schedule · outpatient · +3 other terms	15	$71	$71	—	—	—	$71 – $71
20	Wellmark fee schedule · both · +1 other terms	13	$42	$41	$34	82%	—	$5 – $76
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$74	$77	$20	26%	—	$38 – $92
22	Bcbs Nj fee schedule · outpatient	12	$68	$146	$99	68%	—	$68 – $300
23	MultiPlan facility · fee schedule · outpatient · +2 other terms	11	$25	$44	$59	135%	—	$25 – $231
24	Highmark fee schedule · outpatient · +3 other terms	10	$51	$53	$44	83%	—	$3 – $222
25	Medica fee schedule · outpatient · +4 other terms	10	$136	$130	$44	34%	—	$11 – $176

Page 1 of 2 · 50 payers