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Wheelchair Accessory, Manual Semi-Reclining Back

Wisconsin 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?

$331

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $331 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $331 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 9 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$331$288 to $457
FacilityA hospital or hospital-owned outpatient department$331$174 to $550

How much rates vary

Facilitymedian $331 · 10th to 90th $44 to $891Professionalmedian $331 · 10th to 90th $151 to $550
$1.0$10.0$100.0$1.0Kfacility $331professional $331

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
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$891.25
Typical High
$891.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$489.78
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$371.54
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$588.84
Typical High
$954.99
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$302.00
Typical High
$331.13
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Medica
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$331.13
Typical High
$1,513.56
Medica
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$234.42
Typical High
$354.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$0.63
Median
$54.95
Typical High
$407.38
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$53.70
Median
$302.00
Typical High
$331.13
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
Quartz
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$93.33
Typical High
$109.65
Quartz
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$549.54
Typical High
$1,819.70
Quartz
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$257.04
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$158.49
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$213.80
Typical High
$380.19

Where Wisconsin 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.

Wisconsin $331 · 8th 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.