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Amputee Wheelchair, Detachable Arms, Legrests

Illinois rates for HCPCS E1190

Amputee wheelchair, detachable arms (desk or full-length) swing-away detachable elevating legrests

Rates data updated July 2026.

Facilitymedian $166 · 10th–90th $76$9120%20%10th90th$166Professionalmedian $933 · 10th–90th $589$1,2590%20%40%10th90th$933$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
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$933.25
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,905.46
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$199.53
Typical High
$204.17
Molina
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$138.04
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$165.96
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$707.95
Typical High
$1,148.15