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Wheelchair Accessory, Manual Semi-Reclining Back

North Carolina 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?

$331

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $191 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$331$331 to $331
FacilityA hospital or hospital-owned outpatient department$191$46.77 to $331

How much rates vary

Facilitymedian $191 · 10th to 90th $27 to $575Professionalmedian $331 · 10th to 90th $182 to $331
$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $191professional $331

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
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$257.04
Typical High
$549.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$331.13
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$120.23
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$194.98
Typical High
$309.03
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$1,819.70
Typical High
$1,819.70

Where North Carolina 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.

North Carolina $331 · 7th 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.