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Wheelchair Accessory, Manual Semi-Reclining Back

South 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?

$263

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $263 for this service. The price depends on where it is billed: about $288 from a physician practice, and about $209 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$288$263 to $331
FacilityA hospital or hospital-owned outpatient department$209$57.54 to $263

How much rates vary

Facilitymedian $209 · 10th to 90th $26 to $331Professionalmedian $288 · 10th to 90th $204 to $363
$20$50$100$200$500facility $209professional $288

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
$263.03
Median
$331.13
Typical High
$331.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$363.08
Typical High
$457.09
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
$549.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$263.03
Typical High
$338.84
Medcost
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$173.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$165.96
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$147.91
Typical High
$269.15
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$181.97
Typical High
$295.12

Where South Carolina 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.

South Carolina· 25th of 51

$263

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.