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Wheelchair Accessory, Manual Semi-Reclining Back

Pennsylvania 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?

$251

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $251 for this service. Most negotiated rates run $219 to $263.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $209 · 10th to 90th $25 to $347Professionalmedian $251 · 10th to 90th $178 to $324
$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $209professional $251

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
$208.93
Median
$251.19
Typical High
$295.12
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$426.58
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$549.54
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$251.19
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$398.11
Typical High
$398.11
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$251.19
Typical High
$281.84
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$173.78
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$194.98
Typical High
$354.81

Where Pennsylvania 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.

Pennsylvania $251 · 32nd 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.