go back

Wisconsin rates for HCPCS E1190

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

Facilitymedian $1,096 · 10th–90th $105$3,0200%10%10th90th$1,096Professionalmedian $1,096 · 10th–90th $525$1,6600%20%10th90th$1,096$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,096.48 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $1,096.48 / $1,096.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $3,019.95 / $3,019.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,659.59 / $2,089.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $5,011.87 / $8,128.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $2,344.23 / $3,235.94
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $776.25 / $1,548.82
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $1,096.48 / $7,413.10
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $776.25 / $1,230.27
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $89.13 / $158.49
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $316.23 / $363.08
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $2,630.27 / $7,585.78
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $1,148.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $416.87 / $912.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $691.83 / $1,318.26