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Manual Wheelchair Seat Frame, Depth 22-25 in

North Carolina rates for HCPCS E2204

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

Rates data updated July 2026.

Facilitymedian $617 · 10th–90th $71$1,3800%10%10th90th$617Professionalmedian $661 · 10th–90th $501$6610%50%10th$661$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
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$575.44
Typical High
$1,047.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$575.44
Typical High
$575.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$660.69
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$398.11
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$501.19
Typical High
$724.44
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$4,265.80
Typical High
$4,265.80