go back

Wheelchair Accessory, Manual Semi-Reclining Back

New Mexico 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?

$214

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $214 from a physician practice, and about $195 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$214$46.77 to $295
FacilityA hospital or hospital-owned outpatient department$195$145 to $257

How much rates vary

Facilitymedian $195 · 10th to 90th $27 to $295Professionalmedian $214 · 10th to 90th $35 to $295
$50$100$200$500facility $195professional $214

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
$213.80
Median
$288.40
Typical High
$295.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.30
Median
$34.67
Typical High
$34.67
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
$218.78
Typical High
$257.04
Molina
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$83.18
Typical High
$467.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$239.88
Typical High
$354.81
Providence
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$218.78
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$173.78
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$213.80
Typical High
$331.13

Where New Mexico sits

The same service costs 4.0 times more in Kansas than in Utah. 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.

New Mexico· 48th of 51

$214

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.