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Manual Wheelchair Seat Frame, Depth 22-25 in

Montana rates for HCPCS E2204

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

Rates data updated July 2026.

Facilitymedian $871 · 10th–90th $417$1,0960%20%10th90th$871Professionalmedian $708 · 10th–90th $102$1,0960%20%10th90th$708$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
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,096.48
Typical High
$1,096.48
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$870.96
Typical High
$1,071.52
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$870.96
Typical High
$1,071.52
Providence
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,096.48
Typical High
$1,380.38
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$741.31
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$380.19
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$724.44