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Amputee Wheelchair, Detachable Arms, without Leg Supports

New Jersey rates for HCPCS E1172

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

Rates data updated July 2026.

Facilitymedian $288 · 10th–90th $52$8320%10%20%10th90th$288Professionalmedian $646 · 10th–90th $372$1,0470%10%10th90th$646$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$575.44
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,584.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$812.83
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$275.42
Typical High
$676.08
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$645.65
Typical High
$812.83