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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 October 2026.

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

$182

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $295 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$162$37.15 to $257
FacilityA hospital or hospital-owned outpatient department$295$257 to $3,548

How much rates vary

Facilitymedian $295 · 10th to 90th $257 to $6,607Professionalmedian $162 · 10th to 90th $37 to $302
$50$200$1K$5Kfacility $295professional $162

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
$257.04
Median
$257.04
Typical High
$295.12
Aetna
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$295.12
Typical High
$354.81
Aetna
Setting
Professional
Modifier
RR · Rental
Typical Low
$17.38
Median
$39.81
Typical High
$48.98
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$125.89
Median
$218.78
Typical High
$269.15
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$1,819.70
Median
$3,890.45
Typical High
$7,762.47
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$37.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$288.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$257.04
Typical High
$380.19
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$21.88
Median
$25.70
Typical High
$25.70
Hally Health
Setting
Professional
Modifier
None
Typical Low
$56.23
Median
$79.43
Typical High
$199.53
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$61.66
Typical High
$616.60
United
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$204.17
Typical High
$446.68
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$21.88
Median
$27.54
Typical High
$60.26
United
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$123.03
Median
$154.88
Typical High
$338.84

Where Illinois sits

The same service costs 11.5 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.

Illinois· 49th of 51

$182

KS $692MS $60.26

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.