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Amputee Wheelchair, Detachable Arms, without Leg Supports

Montana rates for HCPCS E1172

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

Rates data updated July 2026.

Facilitymedian $457 · 10th–90th $68$9120%5%10%10th90th$457Professionalmedian $912 · 10th–90th $79$1,2300%20%10th90th$912$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$912.01
Median
$912.01
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
$1,230.27
Providence
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$371.54
Typical High
$1,000.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$831.76
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$457.09
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$575.44
Typical High
$707.95