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Manual Wheelchair Seat Frame, Depth 22-25 in

Hawaii rates for HCPCS E2204

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

Rates data updated July 2026.

Facilitymedian $417 · 10th–90th $51$7590%10%10th90th$417Professionalmedian $1,148 · 10th–90th $575$1,4790%20%40%10th90th$1,148$50.0$100.0$200.0$500.0$1.0K

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

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$758.58
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$707.95
Typical High
$1,230.27
HMSA
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,202.26
Typical High
$1,548.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$812.83
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$380.19
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$912.01
Typical High
$1,230.27