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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 July 2026.

Facilitymedian $603 · 10th–90th $69$1,0000%20%10th90th$603Professionalmedian $617 · 10th–90th $457$7940%20%10th90th$617$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$602.56
Typical High
$676.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$933.25
Typical High
$1,174.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$1,071.52
CareSource
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$1,288.25
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$575.44
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$389.05
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$512.86
Typical High
$741.31