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Manual Wheelchair Seat Frame, Depth 22-25 in

Nebraska rates for HCPCS E2204

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

Rates data updated July 2026.

Facilitymedian $692 · 10th–90th $69$1,1750%10%10th90th$692Professionalmedian $708 · 10th–90th $347$7080%20%40%10th$708$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
$346.74
Median
$707.95
Typical High
$707.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$831.76
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$758.58
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,148.15
Typical High
$1,380.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,148.15
Typical High
$4,168.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$467.74
Typical High
$776.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$2,187.76
Midlands
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$457.09
Typical High
$912.01
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$467.74
Typical High
$831.76