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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 October 2026.

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

$1,288

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $1,288 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $1,413 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,175$724 to $1,413
FacilityA hospital or hospital-owned outpatient department$1,413$1,096 to $2,089

How much rates vary

Facilitymedian $1,413 · 10th to 90th $832 to $3,802Professionalmedian $1,175 · 10th to 90th $479 to $1,660
$100$200$500$1K$2K$5Kfacility $1,413professional $1,175

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
Aetna
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$1,174.90
Typical High
$1,819.70
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$870.96
Median
$870.96
Typical High
$1,380.38
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$1,548.82
Typical High
$2,290.87
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$1,412.54
Typical High
$1,698.24
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$74.13
Median
$138.04
Typical High
$169.82
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$562.34
Median
$562.34
Typical High
$602.56
Cigna
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$3,801.89
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$1,445.44
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$70.79
Median
$83.18
Typical High
$83.18
DeanCare
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$912.01
Typical High
$1,659.59
DeanCare
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Medica
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$1,071.52
Typical High
$6,165.95
Medica
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$645.65
Typical High
$1,148.15
Medica
Setting
Professional
Modifier
RR · Rental
Typical Low
$48.98
Median
$67.61
Typical High
$151.36
Medica
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$323.59
Median
$478.63
Typical High
$851.14
Network Health
Setting
Professional
Modifier
RR · Rental
Typical Low
$67.61
Median
$125.89
Typical High
$218.78
Prevea360
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$912.01
Typical High
$1,659.59
Prevea360
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Quartz
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$186.21
Typical High
$295.12
Quartz
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Quartz
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$707.95
Typical High
$831.76
United
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$660.69
Typical High
$1,174.90
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$47.86
Median
$67.61
Typical High
$144.54
United
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$331.13
Median
$501.19
Typical High
$870.96

Where Wisconsin sits

The same service costs 11.2 times more in Minnesota than in Mississippi. 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· 3rd of 51

$1,288

MN $1,380MS $123

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.