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Wheelchair with Fixed Arm, Footrests

Montana rates for HCPCS E1221

Wheelchair with fixed arm, footrests

Rates data updated October 2026.

How much does Wheelchair with Fixed Arm, Footrests cost?

$407

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $85.11 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$417$240 to $603
FacilityA hospital or hospital-owned outpatient department$85.11$67.61 to $372

How much rates vary

Facilitymedian $85 · 10th to 90th $68 to $407Professionalmedian $417 · 10th to 90th $79 to $692
$50$100$200$500facility $85professional $417

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$524.81
Typical High
$575.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$407.38
Typical High
$602.56
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$56.23
Median
$69.18
Typical High
$69.18
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$67.61
Median
$85.11
Typical High
$371.54
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$74.13
Median
$85.11
Typical High
$85.11
Providence
Setting
Facility
Modifier
None
Typical Low
$40.74
Median
$302.00
Typical High
$478.63
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$457.09
Typical High
$691.83
Providence
Setting
Professional
Modifier
RR · Rental
Typical Low
$52.48
Median
$69.18
Typical High
$69.18
Providence
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$316.23
Median
$446.68
Typical High
$524.81
United
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$281.84
Typical High
$467.74
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$26.30
Median
$28.18
Typical High
$46.77
United
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$169.82
Median
$208.93
Typical High
$346.74

Where Montana sits

The same service costs 11.2 times more in North Dakota than in Rhode Island. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 15th of 51

$407

ND $759RI $67.61

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.