Power wheelchair, standard portable, up to 300 pounds

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

PWC gp 1 std port cap chair

Payers reporting HCPCS K0814

Payer pricing summary

Low

$11

Average

$1.1k

Median

$638

High

$6.1k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +5 other terms	267	$339	$531	$539	102%	—	$247 – $2.6k
2	Aetna fee schedule · outpatient · +5 other terms	259	$341	$814	$2.5k	312%	—	$140 – $30.7k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$340	$613	$746	122%	—	$184 – $4.0k
4	WellCare fee schedule · outpatient · +1 other terms	185	$352	$368	$63	17%	—	$313 – $623
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	179	$354	$1.1k	$2.7k	236%	—	$0 – $22.0k
6	Devoted fee schedule · outpatient · +1 other terms	165	$338	$352	$42	12%	—	$326 – $530
7	Cigna Healthspring fee schedule · outpatient	111	$351	$349	$30	9%	—	$337 – $506
8	Molina fee schedule · outpatient · +3 other terms	96	$491	$478	$184	39%	—	$283 – $1.2k
9	Cigna fee schedule · outpatient · +3 other terms	77	$354	$581	$1.1k	196%	—	$326 – $10.2k
10	Superior Healthplan fee schedule · outpatient	40	$355	$359	$24	7%	—	$355 – $492
11	Anthem fee schedule · outpatient · +5 other terms	38	$342	$382	$116	30%	—	$326 – $858
12	Clover fee schedule · outpatient	34	$351	$347	$47	14%	—	$313 – $492
13	Bcbs Tx fee schedule · outpatient	31	$406	$425	$131	31%	—	$321 – $1.6k
14	Optum fee schedule · outpatient · +2 other terms	28	$337	$408	$158	39%	—	$326 – $845
15	Kaiser fee schedule · outpatient · +2 other terms	27	$349	$352	$36	10%	—	$326 – $458
16	Oscar fee schedule · outpatient	24	$331	$341	$11	3%	—	$331 – $354
17	Medicare fee schedule · outpatient	18	$326	$344	$43	13%	—	$326 – $458
18	Amerihealth Caritas fee schedule · outpatient	17	$405	$419	$48	11%	—	$384 – $562
19	Caresource fee schedule · outpatient · +3 other terms	15	$337	$337	—	—	—	$337 – $337
20	Wellmark fee schedule · both · +1 other terms	13	$2.3k	$2.3k	$1.8k	82%	—	$230 – $4.1k
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$4.3k	$4.3k	$1.1k	26%	—	$2.1k – $5.2k
22	Bcbs Nj fee schedule · outpatient	12	$313	$675	$458	68%	—	$313 – $1.4k
23	MultiPlan facility · fee schedule · outpatient · +1 other terms	11	$1.4k	$1.3k	$113	8%	—	$982 – $1.4k
24	Highmark fee schedule · outpatient · +3 other terms	10	$850	$866	$1.0k	121%	—	$147 – $3.3k
25	Medica fee schedule · outpatient · +4 other terms	10	$677	$681	$171	25%	—	$410 – $874

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