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Wheelchair Accessory, Manual Semi-Reclining Back

Montana 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?

$224

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $186 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 5 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$229$79.43 to $363
FacilityA hospital or hospital-owned outpatient department$186$64.57 to $257

How much rates vary

Facilitymedian $186 · 10th to 90th $26 to $302Professionalmedian $229 · 10th to 90th $55 to $389
$20.0$50.0$100.0$200.0$500.0facility $186professional $229

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$363.08
Typical High
$363.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$257.04
Typical High
$575.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$229.09
Typical High
$457.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$257.04
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$162.18
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$302.00

Where Montana 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.

Montana $224 · 45th 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.