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Manual Wheelchair Seat Frame, Depth 22-25 in

Massachusetts rates for HCPCS E2204

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

Rates data updated July 2026.

Facilitymedian $501 · 10th–90th $59$1,0230%20%10th90th$501Professionalmedian $501 · 10th–90th $479$8710%50%10th90th$501$0.1$1.0$10.0$100.0$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
$501.19
Median
$501.19
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$707.95
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$870.96
Typical High
$4,265.80
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$741.31
Typical High
$870.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,023.29
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
$1,047.13
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$741.31
Typical High
$741.31
Health New England
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$870.96
Typical High
$4,265.80
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$741.31
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$363.08
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$691.83
Typical High
$1,071.52