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Wheelchair Accessory, Manual Semi-Reclining Back

Illinois rates for HCPCS E1225

Wheelchair accessory, manual semi-reclining back, (recline greater than 15 degrees, but less than 80 degrees), each

Rates data updated July 2026.

How much does Wheelchair Accessory, Manual Semi-Reclining Back cost?

$257

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $115 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 6 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$257$166 to $295
FacilityA hospital or hospital-owned outpatient department$115$48.98 to $219

How much rates vary

Facilitymedian $115 · 10th to 90th $26 to $282Professionalmedian $257 · 10th to 90th $37 to $331
$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $115professional $257

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
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$295.12
Typical High
$354.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$478.63
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$79.43
Typical High
$199.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$48.98
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$48.98
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$223.87
Typical High
$354.81

Where Illinois sits

The same service costs 4.0 times more in Kansas than in Utah. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $257 · 28th of 51
KS $692UT $174

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.