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Amputee Wheelchair, Detachable Arms, Legrests

Indiana rates for HCPCS E1190

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

Rates data updated July 2026.

Facilitymedian $813 · 10th–90th $91$1,0230%20%40%10th90th$813Professionalmedian $933 · 10th–90th $525$1,1750%20%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
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$1,023.29
Typical High
$1,148.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$891.25
Typical High
$1,318.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$1,174.90
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$416.87
Typical High
$1,047.13
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$630.96
Typical High
$977.24