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Heavy-Duty Wheelchair, Fixed Arms, Elevating Legrest

North Carolina rates for HCPCS E1295

Heavy-duty wheelchair, fixed full-length arms, elevating legrest

Rates data updated July 2026.

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

$1,072

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,072 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $603 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 5 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$1,072$1,072 to $1,072
FacilityA hospital or hospital-owned outpatient department$603$158 to $1,072

How much rates vary

Facilitymedian $603 · 10th to 90th $83 to $1,549Professionalmedian $1,072 · 10th to 90th $646 to $1,072
$50$100$200$500$1K$2K$5Kfacility $603professional $1,072

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
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$1,047.13
Typical High
$1,659.59
Medcost
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$1,071.52
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$323.59
Typical High
$851.14
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$630.96
Typical High
$933.25
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$7,762.47
Typical High
$7,762.47

Where North Carolina sits

The same service costs 4.2 times more in Kansas than in Utah. 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.

North Carolina· 10th of 51

$1,072

KS $1,950UT $468

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.