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Manual Wheelchair Seat Frame, Depth 22-25 in

Illinois rates for HCPCS E2204

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

Rates data updated July 2026.

Facilitymedian $513 · 10th–90th $62$9330%10%10th90th$513Professionalmedian $550 · 10th–90th $71$7590%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
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$549.54
Typical High
$870.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$912.01
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$91.20
Typical High
$128.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$457.09
Typical High
$933.25
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$512.86
Typical High
$870.96