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Wheelchair Accessory, Manual Semi-Reclining Back

Utah 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?

$200

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $174 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$209$57.54 to $282
FacilityA hospital or hospital-owned outpatient department$174$174 to $257

How much rates vary

Facilitymedian $174 · 10th to 90th $174 to $257Professionalmedian $209 · 10th to 90th $41 to $513
$50$100$200$500facility $174professional $209

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$275.42
Cigna
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$257.04
Typical High
$549.54
Molina
Setting
Professional
Modifier
None
Typical Low
$158.49
Median
$275.42
Typical High
$338.84
Regence BlueShield
Setting
Facility
Modifier
RR · Rental
Typical Low
$44.67
Median
$45.71
Typical High
$75.86
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$478.63
Typical High
$602.56
Select Health
Setting
Facility
Modifier
None
Typical Low
$47.86
Median
$47.86
Typical High
$478.63
Select Health
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$57.54
Typical High
$575.44
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$44.67
Typical High
$269.15
United
Setting
Professional
Modifier
None
Typical Low
$35.48
Median
$181.97
Typical High
$288.40

Where Utah 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.

Utah· 46th of 51

$200

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.