Wheelchair shoulder-elbow mobile arm support, reclining

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

Mobile arm supports reclinin

Payers reporting HCPCS E2628

Payer pricing summary

Low

$21

Average

$909

Median

$858

High

$3.1k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +5 other terms	266	$914	$815	$334	41%	—	$69 – $3.7k
2	Aetna fee schedule · outpatient · +5 other terms	259	$929	$998	$741	74%	—	$40 – $7.7k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	257	$929	$712	$353	50%	—	$44 – $1.3k
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	192	$948	$1.0k	$416	41%	—	$0 – $2.9k
5	WellCare fee schedule · outpatient · +2 other terms	185	$957	$983	$169	17%	—	$880 – $1.8k
6	Devoted fee schedule · outpatient · +1 other terms	165	$929	$880	$193	22%	—	$94 – $1.2k
7	Cigna Healthspring fee schedule · outpatient	111	$982	$936	$48	5%	—	$903 – $1.1k
8	Molina fee schedule · outpatient · +3 other terms	96	$1.1k	$1.1k	$577	55%	—	$81 – $2.5k
9	Cigna fee schedule · outpatient · +3 other terms	77	$932	$867	$526	61%	—	$94 – $2.7k
10	Superior Healthplan fee schedule · outpatient	40	$949	$950	$6	1%	—	$949 – $985
11	Anthem fee schedule · outpatient · +5 other terms	38	$957	$692	$365	53%	—	$94 – $1.0k
12	Clover fee schedule · outpatient	34	$941	$946	$49	5%	—	$914 – $1.1k
13	Bcbs Tx fee schedule · outpatient	31	$858	$883	$257	29%	—	$650 – $3.2k
14	Optum fee schedule · outpatient · +2 other terms	28	$929	$746	$470	63%	—	$94 – $2.3k
15	Kaiser fee schedule · outpatient · +2 other terms	27	$992	$678	$372	55%	—	$94 – $1.0k
16	Oscar fee schedule · outpatient	24	$885	$923	$45	5%	—	$885 – $976
17	Medicare fee schedule · outpatient	18	$604	$606	$374	62%	—	$94 – $1.0k
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$1.1k	$1.1k	$44	4%	—	$1.1k – $1.3k
19	Caresource fee schedule · outpatient · +3 other terms	15	$929	$929	—	—	—	$929 – $929
20	Wellmark fee schedule · both · +1 other terms	13	$508	$504	$413	82%	—	$65 – $923
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$901	$919	$238	26%	—	$455 – $1.1k
22	Bcbs Nj fee schedule · outpatient	12	$914	$2.0k	$1.3k	68%	—	$914 – $4.0k
23	MultiPlan facility · fee schedule · outpatient · +1 other terms	11	$308	$481	$549	114%	—	$308 – $2.2k
24	Highmark fee schedule · outpatient · +3 other terms	10	$610	$632	$519	82%	—	$43 – $2.5k
25	Medica fee schedule · outpatient · +4 other terms	10	$1.8k	$1.7k	$576	34%	—	$140 – $2.3k

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