go back

Amputee Wheelchair, Detachable Arms, Legrests

New Hampshire rates for HCPCS E1190

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

Rates data updated July 2026.

Facilitymedian $347 · 10th–90th $52$8130%5%10%10th90th$347Professionalmedian $891 · 10th–90th $603$8910%50%10th$891$50.0$100.0$200.0$500.0$1.0K

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
$602.56
Median
$794.33
Typical High
$891.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$1,174.90
Typical High
$1,174.90
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$691.83
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$346.74
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$562.34
Typical High
$870.96