go back

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 October 2026.

How much does Wheelchair Accessory, Manual Semi-Reclining Back cost?

$257

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $257 for this service. The price depends on where it is billed: about $257 from a physician practice, and about $257 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$257$219 to $389
FacilityA hospital or hospital-owned outpatient department$257$257 to $389

How much rates vary

Facilitymedian $257 · 10th to 90th $257 to $4,266Professionalmedian $257 · 10th to 90th $174 to $457
$100$1K$10K$100Kfacility $257professional $257

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$263.03
Typical High
$263.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$251.19
Typical High
$263.03
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$107.15
Median
$186.21
Typical High
$194.98
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$79,432.82
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$42.66
Median
$363.08
Typical High
$426.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$389.05
Cigna
Setting
Facility
Modifier
RR · Rental
Typical Low
$25.70
Median
$25.70
Typical High
$38.90
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$257.04
Typical High
$389.05
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$21.88
Median
$21.88
Typical High
$25.70
Cigna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Emblem Health
Setting
Professional
Modifier
RR · Rental
Typical Low
$40.74
Median
$40.74
Typical High
$43.65
Geisinger
Setting
Facility
Modifier
RR · Rental
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
Geisinger
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$251.19
Geisinger
Setting
Professional
Modifier
RR · Rental
Typical Low
$26.30
Median
$32.36
Typical High
$43.65
Geisinger
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$154.88
Median
$154.88
Typical High
$190.55
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$398.11
Typical High
$398.11
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$263.03
Median
$263.03
Typical High
$263.03
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$251.19
Typical High
$263.03
Martin's Point
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$158.49
Median
$186.21
Typical High
$194.98
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
UPMC Health Plan
Setting
Facility
Modifier
RR · Rental
Typical Low
$34.67
Median
$204.17
Typical High
$354.81
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
UPMC Health Plan
Setting
Professional
Modifier
RR · Rental
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
United
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$186.21
Typical High
$331.13
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$17.38
Median
$24.55
Typical High
$41.69
United
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$117.49
Median
$138.04
Typical High
$239.88

Where Pennsylvania sits

The same service costs 11.5 times more in Kansas than in Mississippi. 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.

Pennsylvania· 32nd of 51

$257

KS $692MS $60.26

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.