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Amputee Wheelchair, Detachable Arms, without Leg Supports

Washington rates for HCPCS E1172

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

Rates data updated July 2026.

Facilitymedian $437 · 10th–90th $120$2,2910%20%10th90th$437Professionalmedian $692 · 10th–90th $120$1,2020%50%10th90th$692$1.0$5.0$20.0$100.0$500.0$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
$660.69
Median
$691.83
Typical High
$812.83
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$1,258.93
Typical High
$1,548.82
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
$831.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$138.04
Typical High
$138.04
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$1,905.46
Typical High
$2,290.87
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$1,905.46
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$120.23
Typical High
$1,202.26
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$275.42
Typical High
$1,202.26
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$1,258.93
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$416.87
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$575.44
Typical High
$954.99
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95