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Iowa rates for HCPCS E2204

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

Facilitymedian $575 · 10th–90th $62–$4,1690%10%10th90th$575Professionalmedian $550 · 10th–90th $398–$8710%10%20%10th90th$550$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $549.54 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $1,047.13 / $1,288.25
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $89.13 / $91.20
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $1,380.38 / $4,168.69
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $489.78 / $1,202.26
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,348.96 / $2,691.53
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,174.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $354.81 / $691.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $478.63 / $1,288.25
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $933.25 / $933.25