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Amputee Wheelchair, Detachable Arms, without Leg Supports

Wisconsin rates for HCPCS E1172

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

Rates data updated July 2026.

How much does Amputee Wheelchair, Detachable Arms, without Leg Supports cost?

$912

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $912 for this service. The price depends on where it is billed: about $912 from a physician practice, and about $832 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$912$741 to $1,288
FacilityA hospital or hospital-owned outpatient department$832$372 to $2,239

How much rates vary

Facilitymedian $832 · 10th to 90th $89 to $2,570Professionalmedian $912 · 10th to 90th $363 to $1,585
$50$100$200$500$1K$2K$5Kfacility $832professional $912

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,570.40
Typical High
$2,570.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,412.54
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$7,079.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,698.24
Typical High
$2,691.53
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$645.65
Typical High
$1,288.25
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$912.01
Typical High
$6,165.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$645.65
Typical High
$1,023.29
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$85.11
Typical High
$676.08
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$645.65
Typical High
$1,288.25
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Quartz
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$263.03
Typical High
$302.00
Quartz
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$2,238.72
Typical High
$6,309.57
Quartz
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$707.95
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$346.74
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$645.65
Typical High
$1,174.90

Where Wisconsin sits

The same service costs 3.9 times more in Minnesota than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 5th of 51

$912

MN $1,445UT $372

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.