Wheelchair arm support with overhead sling

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

Monosuspension arm/hand supp

Payers reporting HCPCS E2630

Payer pricing summary

Low

$18

Average

$766

Median

$718

High

$2.6k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +5 other terms	266	$783	$706	$287	41%	—	$60 – $3.2k
2	Aetna fee schedule · outpatient · +6 other terms	261	$811	$863	$669	78%	—	$35 – $7.6k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	259	$799	$611	$307	50%	—	$38 – $1.9k
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	193	$830	$944	$393	42%	—	$0 – $2.6k
5	WellCare fee schedule · outpatient · +2 other terms	185	$839	$864	$131	15%	—	$765 – $1.5k
6	Devoted fee schedule · outpatient · +1 other terms	165	$815	$775	$170	22%	—	$78 – $1.0k
7	Cigna Healthspring fee schedule · outpatient	111	$831	$826	$26	3%	—	$791 – $976
8	Molina fee schedule · outpatient · +3 other terms	98	$986	$944	$523	55%	—	$68 – $2.4k
9	Cigna fee schedule · outpatient · +4 other terms	77	$815	$745	$450	60%	—	$78 – $2.3k
10	Superior Healthplan fee schedule · outpatient	40	$856	$859	$18	2%	—	$856 – $958
11	Anthem fee schedule · outpatient · +5 other terms	38	$815	$589	$311	53%	—	$78 – $923
12	Clover fee schedule · outpatient	34	$822	$817	$56	7%	—	$765 – $958
13	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$846	$876	$259	30%	—	$652 – $3.2k
14	Optum fee schedule · outpatient · +2 other terms	28	$791	$640	$415	65%	—	$78 – $2.0k
15	Kaiser fee schedule · outpatient · +2 other terms	27	$824	$578	$317	55%	—	$78 – $923
16	Oscar fee schedule · outpatient	24	$799	$812	$16	2%	—	$799 – $830
17	Medicare fee schedule · outpatient	18	$519	$521	$324	62%	—	$78 – $923
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$949	$950	$40	4%	—	$901 – $1.1k
19	Caresource fee schedule · outpatient · +3 other terms	15	$791	$791	—	—	—	$791 – $791
20	Wellmark fee schedule · both · +1 other terms	13	$441	$438	$359	82%	—	$57 – $803
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$749	$759	$197	26%	—	$378 – $911
22	Bcbs Nj fee schedule · outpatient	12	$765	$1.6k	$1.1k	68%	—	$765 – $3.4k
23	MultiPlan facility · fee schedule · outpatient · +1 other terms	11	$264	$418	$488	117%	—	$264 – $2.0k
24	Highmark fee schedule · outpatient · +3 other terms	10	$519	$539	$443	82%	—	$36 – $2.2k
25	Medica fee schedule · outpatient · +4 other terms	10	$1.5k	$1.4k	$486	34%	—	$127 – $2.0k

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