go back

Wheelchair Accessory, Manual Semi-Reclining Back

New York 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?

$316

Typical negotiated rate. In New York, July 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 $174 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 9 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$316$240 to $363
FacilityA hospital or hospital-owned outpatient department$174$37.15 to $245

How much rates vary

Facilitymedian $174 · 10th to 90th $24 to $295Professionalmedian $316 · 10th to 90th $174 to $457
$20.0$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $174professional $316

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
$173.78
Median
$316.23
Typical High
$457.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$954.99
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$602.56
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$257.04
Typical High
$389.05
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$389.05
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$41.69
United
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$162.18
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$218.78
Typical High
$363.08
Univera
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$371.54
Univera
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$389.05

Where New York 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.

New York $316 · 11th 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.