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Amputee Wheelchair, Detachable Arms, Legrests

Montana rates for HCPCS E1190

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

Rates data updated July 2026.

Facilitymedian $447 · 10th–90th $81$1,0960%10%10th90th$447Professionalmedian $1,096 · 10th–90th $79$1,5490%20%10th90th$1,096$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$1,479.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$165.96
Typical High
$1,174.90
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$114.82
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$549.54
Typical High
$1,096.48
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$691.83
Typical High
$851.14