go back

Manual Wheelchair Seat Frame, Depth 22-25 in

Indiana 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?

$692

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $692 for this service. The price depends on where it is billed: about $692 from a physician practice, and about $832 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$692$603 to $741
FacilityA hospital or hospital-owned outpatient department$832$617 to $933

How much rates vary

Facilitymedian $832 · 10th to 90th $575 to $1,514Professionalmedian $692 · 10th to 90th $490 to $933
$200$500$1K$2Kfacility $832professional $692

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
Facility
Modifier
None
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Aetna
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$602.56
Typical High
$676.08
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$416.87
Median
$446.68
Typical High
$512.86
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$933.25
Typical High
$1,000.00
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$691.83
Typical High
$1,000.00
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$69.18
Median
$69.18
Typical High
$93.33
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$524.81
Median
$524.81
Typical High
$707.95
CareSource
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$1,230.27
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$616.60
Cigna
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$575.44
Typical High
$933.25
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$1,380.38
Typical High
$2,818.38
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$741.31
Typical High
$933.25
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
RR · Rental
Typical Low
$53.70
Median
$74.13
Typical High
$93.33
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$426.58
Median
$562.34
Typical High
$707.95
United
Setting
Professional
Modifier
None
Typical Low
$288.40
Median
$512.86
Typical High
$794.33
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$28.84
Median
$51.29
Typical High
$79.43
United
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$218.78
Median
$380.19
Typical High
$588.84

Where Indiana 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.

Indiana· 20th of 51

$692

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.