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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.

Facilitymedian $832 · 10th–90th $89$2,5700%10%10th90th$832Professionalmedian $912 · 10th–90th $363$1,5850%20%10th90th$912$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
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