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Amputee Wheelchair, Detachable Arms, Legrests

Wisconsin rates for HCPCS E1190

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

Rates data updated July 2026.

Facilitymedian $1,096 · 10th–90th $105$3,0200%10%10th90th$1,096Professionalmedian $1,096 · 10th–90th $437$1,9050%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
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,019.95
Typical High
$3,019.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,659.59
Typical High
$2,089.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$5,128.61
Typical High
$8,511.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$2,344.23
Typical High
$3,235.94
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$776.25
Typical High
$1,548.82
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$1,096.48
Typical High
$7,413.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$776.25
Typical High
$1,230.27
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$89.13
Typical High
$158.49
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$776.25
Typical High
$1,548.82
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Quartz
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$309.03
Typical High
$363.08
Quartz
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$2,691.53
Typical High
$7,585.78
Quartz
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$1,174.90
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$416.87
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$741.31
Typical High
$1,380.38