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Manual Wheelchair Seat Frame, Depth 22-25 in

Alaska rates for HCPCS E2204

Manual wheelchair accessory, nonstandard seat frame depth, 22 to 25 in

Rates data updated July 2026.

Facilitymedian $575 · 10th–90th $110$1,0960%10%10th90th$575Professionalmedian $741 · 10th–90th $110$1,1750%10%10th90th$741$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$676.08
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$575.44
Typical High
$1,230.27
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$616.60
Typical High
$1,096.48
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,096.48
Typical High
$3,715.35
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$109.65
Typical High
$1,096.48
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$223.87
Typical High
$1,096.48
Providence
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$537.03
Typical High
$794.33
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$575.44
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$380.19
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$1,071.52
Typical High
$1,949.84