Replacement caster fork 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 fork

Payers reporting HCPCS E2396

Payer pricing summary

Low

Average

$63

Median

$58

High

$208

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +6 other terms	267	$62	$55	$24	43%	—	$5 – $257
2	Aetna fee schedule · outpatient · +5 other terms	259	$64	$70	$64	91%	—	$3 – $868
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$64	$49	$24	50%	—	$3 – $135
4	WellCare fee schedule · outpatient · +2 other terms	185	$66	$67	$11	16%	—	$59 – $118
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	181	$66	$76	$34	45%	—	$0 – $262
6	Devoted fee schedule · outpatient · +1 other terms	165	$64	$60	$14	23%	—	$6 – $85
7	Cigna Healthspring fee schedule · outpatient	111	$67	$64	$4	6%	—	$61 – $82
8	Molina fee schedule · outpatient · +3 other terms	96	$80	$70	$39	56%	—	$5 – $182
9	Cigna fee schedule · outpatient · +3 other terms	77	$63	$58	$37	64%	—	$6 – $179
10	Superior Healthplan fee schedule · outpatient	40	$64	$64	$2	2%	—	$64 – $73
11	Anthem fee schedule · outpatient · +5 other terms	38	$65	$46	$24	53%	—	$6 – $74
12	Clover fee schedule · outpatient	34	$64	$64	$6	9%	—	$59 – $80
13	Bcbs Tx fee schedule · outpatient	31	$66	$68	$20	30%	—	$51 – $252
14	Optum fee schedule · outpatient · +2 other terms	28	$64	$50	$32	64%	—	$6 – $153
15	Kaiser fee schedule · outpatient · +2 other terms	27	$65	$45	$25	55%	—	$6 – $73
16	Oscar fee schedule · outpatient	24	$60	$63	$4	6%	—	$60 – $68
17	Medicare fee schedule · outpatient	18	$40	$42	$26	62%	—	$6 – $78
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$77	$78	$3	4%	—	$73 – $87
19	Caresource fee schedule · outpatient · +3 other terms	15	$64	$64	—	—	—	$64 – $64
20	Wellmark fee schedule · both · +1 other terms	13	$37	$36	$30	82%	—	$5 – $67
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$64	$66	$17	26%	—	$32 – $78
22	Bcbs Nj fee schedule · outpatient	12	$59	$128	$87	68%	—	$59 – $263
23	MultiPlan facility · fee schedule · outpatient · +2 other terms	11	$23	$39	$51	130%	—	$23 – $200
24	Highmark fee schedule · outpatient · +3 other terms	10	$41	$42	$35	82%	—	$3 – $175
25	Medica fee schedule · outpatient · +4 other terms	10	$119	$114	$39	34%	—	$9 – $154

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