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Heavy-Duty Wheelchair, Fixed Arms, Legrests

New York rates for HCPCS E1195

Heavy-duty wheelchair, fixed full-length arms, swing-away detachable elevating legrests

Rates data updated July 2026.

How much does Heavy-Duty Wheelchair, Fixed Arms, Legrests cost?

$955

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $955 for this service. The price depends on where it is billed: about $955 from a physician practice, and about $513 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$955$871 to $1,023
FacilityA hospital or hospital-owned outpatient department$513$110 to $832

How much rates vary

Facilitymedian $513 · 10th to 90th $69 to $1,023Professionalmedian $955 · 10th to 90th $479 to $1,698
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $513professional $955

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$1,023.29
Typical High
$1,698.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$2,570.40
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$1,905.46
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$1,258.93
Typical High
$1,737.80
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,096.48
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$489.78
Typical High
$891.25
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$870.96
Typical High
$1,174.90
Univera
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,023.29
Univera
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,023.29
Typical High
$1,096.48

Where New York sits

The same service costs 4.1 times more in Kansas than in Utah. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $955 · 20th of 51
KS $1,950UT $479

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.