Replacement caster wheel 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

Caster wheel excludes tire

Payers reporting HCPCS E2395

Payer pricing summary

Low

Average

$55

Median

$50

High

$185

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +6 other terms	267	$53	$47	$20	43%	—	$4 – $214
2	Aetna fee schedule · outpatient · +5 other terms	259	$54	$60	$46	77%	—	$2 – $437
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$54	$42	$22	51%	—	$3 – $77
4	WellCare fee schedule · outpatient · +2 other terms	185	$56	$57	$8	14%	—	$48 – $95
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	181	$55	$66	$30	45%	—	$0 – $215
6	Devoted fee schedule · outpatient · +1 other terms	165	$53	$52	$12	22%	—	$5 – $71
7	Cigna Healthspring fee schedule · outpatient	111	$56	$54	$3	5%	—	$53 – $68
8	Molina fee schedule · outpatient · +3 other terms	96	$67	$61	$34	56%	—	$5 – $164
9	Cigna fee schedule · outpatient · +3 other terms	77	$55	$51	$33	66%	—	$5 – $159
10	Superior Healthplan fee schedule · outpatient	40	$55	$56	$2	3%	—	$55 – $66
11	Anthem fee schedule · outpatient · +5 other terms	38	$55	$39	$22	57%	—	$4 – $66
12	Clover fee schedule · outpatient	34	$55	$53	$5	10%	—	$48 – $66
13	Bcbs Tx fee schedule · outpatient	31	$59	$62	$19	30%	—	$46 – $229
14	Optum fee schedule · outpatient · +2 other terms	28	$53	$44	$28	63%	—	$5 – $132
15	Kaiser fee schedule · outpatient · +2 other terms	27	$55	$40	$22	56%	—	$5 – $66
16	Oscar fee schedule · outpatient	24	$52	$54	$2	4%	—	$52 – $56
17	Medicare fee schedule · outpatient	18	$36	$36	$23	63%	—	$5 – $66
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$64	$65	$3	5%	—	$61 – $75
19	Caresource fee schedule · outpatient · +3 other terms	15	$53	$53	—	—	—	$53 – $53
20	Wellmark fee schedule · both · +1 other terms	13	$30	$30	$25	82%	—	$4 – $55
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$54	$56	$15	26%	—	$27 – $66
22	Bcbs Nj fee schedule · outpatient	12	$48	$103	$70	68%	—	$48 – $211
23	MultiPlan facility · fee schedule · outpatient · +2 other terms	11	$18	$32	$42	132%	—	$18 – $164
24	Highmark fee schedule · outpatient · +3 other terms	10	$37	$38	$32	83%	—	$2 – $158
25	Medica fee schedule · outpatient · +4 other terms	10	$105	$101	$34	34%	—	$8 – $136

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