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Heavy-Duty Wheelchair, Fixed Arms, Elevating Legrest

New York rates for HCPCS E1295

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

Rates data updated October 2026.

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

$977

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $977 for this service. The price depends on where it is billed: about $977 from a physician practice, and about $1,047 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$977$813 to $1,000
FacilityA hospital or hospital-owned outpatient department$1,047$1,000 to $1,047

How much rates vary

Facilitymedian $1,047 · 10th to 90th $692 to $1,660Professionalmedian $977 · 10th to 90th $708 to $1,122
$200$500$1K$2Kfacility $1,047professional $977

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
Facility
Modifier
None
Typical Low
$630.96
Median
$1,000.00
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,621.81
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$741.31
Median
$741.31
Typical High
$1,230.27
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$1,148.15
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$81.28
Median
$81.28
Typical High
$229.09
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
CDPHP
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$141.25
Typical High
$1,819.70
Cigna
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$1,047.13
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
RR · Rental
Typical Low
$44.67
Median
$104.71
Typical High
$204.17
Cigna
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$1,047.13
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$89.13
Median
$104.71
Typical High
$104.71
Emblem Health
Setting
Facility
Modifier
RR · Rental
Typical Low
$173.78
Median
$288.40
Typical High
$630.96
Emblem Health
Setting
Professional
Modifier
RR · Rental
Typical Low
$107.15
Median
$128.82
Typical High
$173.78
Excellus BCBS
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$1,000.00
Typical High
$1,047.13
Excellus BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$97.72
Median
$100.00
Typical High
$141.25
Excellus BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$537.03
Median
$575.44
Typical High
$741.31
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
United
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$870.96
Typical High
$1,202.26
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$54.95
Median
$89.13
Typical High
$128.82
United
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$354.81
Median
$645.65
Typical High
$891.25
Univera
Setting
Facility
Modifier
None
Typical Low
$691.83
Median
$1,000.00
Typical High
$1,000.00
Univera
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$1,000.00
Typical High
$1,047.13
Univera
Setting
Professional
Modifier
RR · Rental
Typical Low
$97.72
Median
$100.00
Typical High
$141.25
Univera
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$309.03
Median
$575.44
Typical High
$741.31
4 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Excellus BCBS
Setting
Professional
Modifier
KH · Purchase or 1st rental month
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Excellus BCBS
Setting
Professional
Modifier
RB · Replacement part
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Univera
Setting
Professional
Modifier
KH · Purchase or 1st rental month
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Univera
Setting
Professional
Modifier
RB · Replacement part
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70

Where New York sits

The same service costs 12.9 times more in Kansas than in Mississippi. 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.

New York· 19th of 51

$977

KS $1,950MS $151

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.