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Manual Wheelchair Seat Frame, Depth 22-25 in

Arizona rates for HCPCS E2204

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

Rates data updated October 2026.

How much does Manual Wheelchair Seat Frame, Depth 22-25 in cost?

$490

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $219 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$525$437 to $646
FacilityA hospital or hospital-owned outpatient department$219$117 to $813

How much rates vary

Facilitymedian $219 · 10th to 90th $39 to $4,169Professionalmedian $525 · 10th to 90th $380 to $692
$50$100$200$500$1K$2Kfacility $219professional $525

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$645.65
Typical High
$645.65
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$407.38
Median
$478.63
Typical High
$478.63
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$26.92
Median
$120.23
Typical High
$181.97
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$691.83
Typical High
$870.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$575.44
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Cigna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Medica
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$891.25
Typical High
$4,168.69
Medica
Setting
Facility
Modifier
RR · Rental
Typical Low
$186.21
Median
$416.87
Typical High
$416.87
Medica
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$436.52
Typical High
$691.83
Medica
Setting
Professional
Modifier
RR · Rental
Typical Low
$33.11
Median
$43.65
Typical High
$69.18
Medica
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$251.19
Median
$331.13
Typical High
$512.86
United
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$436.52
Typical High
$691.83
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$33.88
Median
$43.65
Typical High
$69.18
United
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$251.19
Median
$331.13
Typical High
$512.86

Where Arizona sits

The same service costs 2.6 times more in Hawaii than in Illinois. 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.

Arizona· 50th of 51

$490

HI $1,202IL $468

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.