Replacement front wheel assembly for 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

Fr cstr semi-pne tire rep ea

Payers reporting HCPCS K0072

Payer pricing summary

Low

Average

$80

Median

$74

High

$273

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +5 other terms	267	$81	$72	$30	41%	—	$6 – $330
2	Aetna fee schedule · outpatient · +5 other terms	259	$83	$88	$62	71%	—	$3 – $571
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$83	$63	$31	50%	—	$4 – $107
4	WellCare fee schedule · outpatient · +2 other terms	185	$85	$89	$14	16%	—	$79 – $158
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	181	$85	$96	$42	43%	—	$0 – $301
6	Devoted fee schedule · outpatient · +1 other terms	165	$83	$79	$18	22%	—	$8 – $104
7	Cigna Healthspring fee schedule · outpatient	111	$86	$84	$3	4%	—	$82 – $100
8	Molina fee schedule · outpatient · +3 other terms	96	$103	$95	$53	55%	—	$7 – $242
9	Cigna fee schedule · outpatient · +3 other terms	77	$83	$75	$47	63%	—	$8 – $235
10	Superior Healthplan fee schedule · outpatient	40	$87	$87	$2	2%	—	$87 – $97
11	Anthem fee schedule · outpatient · +5 other terms	38	$83	$60	$32	53%	—	$8 – $95
12	Clover fee schedule · outpatient	34	$86	$84	$5	6%	—	$79 – $97
13	Bcbs Tx fee schedule · outpatient	31	$84	$87	$26	29%	—	$65 – $321
14	Optum fee schedule · outpatient · +2 other terms	28	$82	$65	$42	65%	—	$8 – $206
15	Kaiser fee schedule · outpatient · +2 other terms	27	$84	$58	$32	55%	—	$8 – $92
16	Oscar fee schedule · outpatient	24	$81	$83	$3	3%	—	$81 – $87
17	Medicare fee schedule · outpatient	18	$52	$52	$32	62%	—	$8 – $92
18	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$99	$99	$4	4%	—	$94 – $111
19	Caresource fee schedule · outpatient · +3 other terms	15	$82	$82	—	—	—	$82 – $82
20	Wellmark fee schedule · both · +1 other terms	13	$44	$44	$36	82%	—	$6 – $81
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$80	$81	$21	26%	—	$40 – $97
22	Bcbs Nj fee schedule · outpatient	12	$79	$171	$116	68%	—	$79 – $350
23	MultiPlan facility · fee schedule · outpatient · +1 other terms	11	$27	$45	$58	128%	—	$27 – $230
24	Highmark fee schedule · outpatient · +3 other terms	10	$53	$55	$46	82%	—	$4 – $220
25	Medica fee schedule · outpatient · +4 other terms	10	$156	$150	$50	34%	—	$13 – $202

Page 1 of 2 · 50 payers