Replacement wheelchair arm pad, each

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Arm pad repl, each

Payers reporting HCPCS K0019

Payer pricing summary

Low

Average

$17

Median

$15

High

$53

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +5 other terms	267	$16	$14	$6	43%	—	$1 – $63
2	Aetna fee schedule · outpatient · +5 other terms	259	$16	$18	$15	82%	—	$1 – $169
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$16	$13	$7	52%	—	$1 – $26
4	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	190	$17	$20	$9	46%	—	$0 – $68
5	WellCare fee schedule · outpatient · +2 other terms	185	$16	$17	$3	20%	—	$14 – $32
6	Devoted fee schedule · outpatient · +1 other terms	165	$16	$15	$4	23%	—	$2 – $22
7	Cigna Healthspring fee schedule · outpatient	111	$17	$16	$1	8%	—	$15 – $21
8	Molina fee schedule · outpatient · +3 other terms	96	$20	$18	$10	55%	—	$1 – $50
9	Cigna fee schedule · outpatient · +3 other terms	77	$16	$16	$10	65%	—	$2 – $46
10	Superior Healthplan fee schedule · outpatient	40	$16	$16	$1	5%	—	$16 – $20
11	Anthem fee schedule · outpatient · +5 other terms	38	$16	$13	$7	53%	—	$2 – $21
12	Clover fee schedule · outpatient	34	$16	$16	$1	8%	—	$16 – $20
13	Bcbs Tx fee schedule · outpatient	31	$18	$18	$6	31%	—	$14 – $69
14	Optum fee schedule · outpatient · +2 other terms	28	$16	$13	$8	60%	—	$2 – $37
15	Kaiser fee schedule · outpatient · +3 other terms	27	$18	$13	$7	56%	—	$2 – $21
16	Oscar fee schedule · outpatient	24	$14	$15	$1	7%	—	$14 – $17
17	Medicare fee schedule · outpatient	18	$11	$11	$7	62%	—	$2 – $21
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$19	$19	$1	6%	—	$18 – $23
19	Caresource fee schedule · outpatient · +3 other terms	15	$16	$16	—	—	—	$16 – $16
20	Wellmark fee schedule · both · +1 other terms	13	$9	$9	$8	82%	—	$1 – $17
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$17	$17	$5	26%	—	$9 – $21
22	Bcbs Nj fee schedule · outpatient	12	$16	$34	$23	68%	—	$16 – $70
23	MultiPlan facility · fee schedule · outpatient · +1 other terms	11	$6	$10	$13	136%	—	$6 – $52
24	Highmark fee schedule · outpatient · +3 other terms	10	$11	$12	$10	83%	—	$1 – $48
25	Medica fee schedule · outpatient · +4 other terms	10	$31	$29	$10	34%	—	$2 – $39

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