go back

Wheelchair Accessory, Manual Semi-Reclining Back

South Dakota 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?

$380

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $263 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 5 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$380$363 to $468
FacilityA hospital or hospital-owned outpatient department$263$162 to $646

How much rates vary

Facilitymedian $263 · 10th to 90th $29 to $1,514Professionalmedian $380 · 10th to 90th $186 to $550
$50.0$100.0$200.0$500.0$1.0Kfacility $263professional $380

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
$380.19
Median
$380.19
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$549.54
Typical High
$676.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$831.76
Typical High
$1,513.56
Medica
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$190.55
Typical High
$371.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$302.00
Typical High
$512.86
Midlands
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$194.98
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$275.42
Typical High
$478.63

Where South Dakota 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.

South Dakota $380 · 3rd 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.