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Amputee Wheelchair, Detachable Arms, without Leg Supports

Maine rates for HCPCS E1172

Amputee wheelchair, detachable arms (desk or full-length) without footrests or legrest

Rates data updated July 2026.

Facilitymedian $676 · 10th–90th $68$8320%20%10th90th$676Professionalmedian $813 · 10th–90th $631$8320%20%40%10th90th$813$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$831.76
Typical High
$831.76
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$575.44
Typical High
$1,230.27
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$501.19
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$575.44
Typical High
$1,230.27