go back

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 October 2026.

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

$1,202

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $1,202 for this service. Most negotiated rates run $1,148 to $1,202.

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.

How much rates vary

Facilitymedian $912 · 10th to 90th $759 to $912Professionalmedian $1,202 · 10th to 90th $912 to $1,202
$500$1Kfacility $912professional $1,202

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
Cigna
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$912.01
Typical High
$912.01
Cigna
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$758.58
Typical High
$1,230.27
HMSA
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,202.26
Typical High
$1,202.26
HMSA
Setting
Professional
Modifier
RR · Rental
Typical Low
$114.82
Median
$120.23
Typical High
$120.23
HMSA
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$870.96
Median
$912.01
Typical High
$912.01
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$812.83
Typical High
$1,148.15
United
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$912.01
Typical High
$1,230.27
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$933.25
Typical High
$1,071.52

Where Hawaii 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.

Hawaii· 1st of 51

$1,202

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.