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HCPCS E1190-RR

Wheelchair amputee w/ leg re

Payer pricing summary

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Low

$131

Average

$173

Median

$163

High

$266

Payer rate distribution

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Filter by billing methodology

All methodologies Case rate 0 Fee schedule 8 Per diem 0 Percent of billed charges 0 Other 0

Filter by billing class

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#
1	Anthem facility · fee schedule · outpatient · +1 other terms	6	$164	$157	$23	15%	—	$114 – $193
2	Blue Cross Blue Shield facility · fee schedule · outpatient	5	$167	$167	—	—	—	$167 – $167
3	Humana facility · fee schedule · outpatient	5	$153	$154	$2	1%	—	$153 – $159
4	UnitedHealthcare facility · fee schedule · outpatient	5	$112	$131	$38	29%	—	$112 – $207
5	Aetna facility · fee schedule · outpatient	4	$252	$210	$73	35%	—	$83 – $252
6	WellCare facility · fee schedule · outpatient	4	$167	$167	—	—	—	$167 – $167
7	Cigna facility · fee schedule · outpatient	3	$279	$266	$52	20%	—	$205 – $361
8	Regence facility · fee schedule · outpatient	2	$132	$132	—	—	—	$132 – $132

← Hospitals reporting HCPCS E1190-RR · Snapshot 20261115T194459Z-975ba28a