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Wheelchair Accessory, Manual Semi-Reclining Back

Massachusetts 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?

$316

Typical negotiated rate. In Massachusetts, October 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $288 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 10 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$316$219 to $363
FacilityA hospital or hospital-owned outpatient department$288$257 to $417

How much rates vary

Facilitymedian $288 · 10th to 90th $51 to $1,175Professionalmedian $316 · 10th to 90th $170 to $389
$100$200$500$1K$2K$5K$10Kfacility $288professional $316

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
$234.42
Median
$234.42
Typical High
$234.42
Aetna
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$234.42
Typical High
$363.08
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$109.65
Median
$177.83
Typical High
$269.15
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$281.84
Typical High
$1,122.02
AllWays Health Partners
Setting
Facility
Modifier
RR · Rental
Typical Low
$40.74
Median
$42.66
Typical High
$134.90
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$363.08
Typical High
$371.54
AllWays Health Partners
Setting
Professional
Modifier
RR · Rental
Typical Low
$19.95
Median
$42.66
Typical High
$42.66
AllWays Health Partners
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$128.82
Median
$269.15
Typical High
$275.42
BCBS Massachusetts
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$346.74
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$389.05
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$257.04
Typical High
$549.54
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$83.18
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$223.87
Typical High
$416.87
Harvard Pilgrim
Setting
Professional
Modifier
RR · Rental
Typical Low
$14.79
Median
$25.70
Typical High
$43.65
Harvard Pilgrim
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$109.65
Median
$165.96
Typical High
$338.84
Health New England
Setting
Professional
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Health New England
Setting
Professional
Modifier
RR · Rental
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$51.29
Median
$281.84
Typical High
$1,122.02
Mass General Brigham
Setting
Facility
Modifier
RR · Rental
Typical Low
$40.74
Median
$42.66
Typical High
$134.90
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$363.08
Typical High
$371.54
Mass General Brigham
Setting
Professional
Modifier
RR · Rental
Typical Low
$19.95
Median
$42.66
Typical High
$42.66
Mass General Brigham
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$128.82
Median
$269.15
Typical High
$275.42
United
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$223.87
Typical High
$416.87
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$14.79
Median
$25.70
Typical High
$43.65
United
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$109.65
Median
$165.96
Typical High
$309.03
Well Sense
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$416.87
3 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
AllWays Health Partners
Setting
Professional
Modifier
KURR · Bidding program group 3 + Rental
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Mass General Brigham
Setting
Professional
Modifier
KURR · Bidding program group 3 + Rental
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Well Sense
Setting
Facility
Modifier
KU · Bidding program group 3
Typical Low
$346.74
Median
$446.68
Typical High
$812.83

Where Massachusetts 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.

Massachusetts· 17th of 51

$316

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.