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Amputee Wheelchair, Detachable Arms, Legrests

Washington rates for HCPCS E1190

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

Rates data updated July 2026.

Facilitymedian $501 · 10th–90th $135$2,7540%20%10th90th$501Professionalmedian $813 · 10th–90th $145$1,4450%20%10th90th$813$1.0$5.0$20.0$100.0$500.0$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
Professional
Modifier
Global
Typical Low
$691.83
Median
$812.83
Typical High
$977.24
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$1,548.82
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$1,174.90
Typical High
$1,174.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$162.18
Typical High
$165.96
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$2,290.87
Typical High
$2,754.23
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$162.18
Typical High
$2,754.23
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$144.54
Typical High
$1,445.44
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$323.59
Typical High
$1,445.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$1,548.82
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$489.78
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$691.83
Typical High
$1,148.15
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$851.14