Power wheelchair, standard portable model, up to 300 lbs

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 2 std port cap chair

Payers reporting HCPCS K0821

Payer pricing summary

Low

$12

Average

$1.1k

Median

$644

High

$6.1k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +5 other terms	267	$350	$547	$553	101%	—	$252 – $2.6k
2	Aetna fee schedule · outpatient · +5 other terms	259	$352	$852	$2.7k	315%	—	$150 – $32.3k
3	UnitedHealthcare fee schedule · outpatient · +8 other terms	256	$353	$643	$803	125%	—	$192 – $4.2k
4	WellCare fee schedule · outpatient · +1 other terms	185	$358	$378	$66	17%	—	$319 – $651
5	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	179	$368	$1.2k	$2.8k	235%	—	$0 – $21.4k
6	Devoted fee schedule · outpatient · +1 other terms	165	$350	$362	$47	13%	—	$326 – $558
7	Cigna Healthspring fee schedule · outpatient	111	$364	$359	$34	10%	—	$342 – $533
8	Molina fee schedule · outpatient · +3 other terms	96	$510	$491	$190	39%	—	$283 – $1.3k
9	Cigna fee schedule · outpatient · +3 other terms	77	$361	$598	$1.1k	191%	—	$326 – $10.2k
10	Superior Healthplan fee schedule · outpatient	40	$363	$368	$27	7%	—	$363 – $518
11	Anthem fee schedule · outpatient · +5 other terms	38	$342	$390	$127	32%	—	$326 – $903
12	Clover fee schedule · outpatient	34	$363	$358	$52	15%	—	$319 – $518
13	Bcbs Tx fee schedule · outpatient	31	$426	$447	$139	31%	—	$337 – $1.7k
14	Optum fee schedule · outpatient · +2 other terms	28	$350	$419	$163	39%	—	$326 – $865
15	Kaiser fee schedule · outpatient · +2 other terms	27	$349	$354	$43	12%	—	$326 – $482
16	Oscar fee schedule · outpatient	24	$339	$351	$14	4%	—	$339 – $368
17	Medicare fee schedule · outpatient	18	$326	$347	$51	15%	—	$326 – $482
18	Amerihealth Caritas fee schedule · outpatient	17	$420	$436	$52	12%	—	$399 – $592
19	Caresource fee schedule · outpatient · +3 other terms	15	$350	$350	—	—	—	$350 – $350
20	Wellmark fee schedule · both · +1 other terms	13	$2.4k	$2.4k	$1.9k	82%	—	$243 – $4.3k
21	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$4.5k	$4.6k	$1.2k	26%	—	$2.3k – $5.4k
22	Bcbs Nj fee schedule · outpatient	12	$319	$689	$468	68%	—	$319 – $1.4k
23	MultiPlan facility · fee schedule · outpatient · +1 other terms	11	$1.4k	$1.4k	$126	9%	—	$1.0k – $1.4k
24	Highmark fee schedule · outpatient · +3 other terms	10	$873	$889	$1.1k	120%	—	$150 – $3.3k
25	Medica fee schedule · outpatient · +4 other terms	10	$679	$683	$171	25%	—	$411 – $876

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