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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 October 2026.

How much does Manual Wheelchair Seat Frame, Depth 22-25 in cost?

$871

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $871 for this service. The price depends on where it is billed: about $871 from a physician practice, and about $1,175 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$871$575 to $891
FacilityA hospital or hospital-owned outpatient department$1,175$912 to $1,479

How much rates vary

Facilitymedian $1,175 · 10th to 90th $724 to $4,169Professionalmedian $871 · 10th to 90th $437 to $1,175
$200$500$1K$2Kfacility $1,175professional $871

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$933.25
Typical High
$1,819.70
BCBS Nebraska
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$870.96
Typical High
$891.25
BCBS Nebraska
Setting
Professional
Modifier
RR · Rental
Typical Low
$81.28
Median
$87.10
Typical High
$89.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$1,174.90
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
RR · Rental
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Cigna
Setting
Facility
Modifier
UE · Used equipment
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$1,148.15
Typical High
$1,445.44
Medica
Setting
Facility
Modifier
None
Typical Low
$794.33
Median
$1,148.15
Typical High
$4,168.69
Medica
Setting
Professional
Modifier
None
Typical Low
$331.13
Median
$467.74
Typical High
$776.25
Medica
Setting
Professional
Modifier
RR · Rental
Typical Low
$36.31
Median
$46.77
Typical High
$74.13
Medica
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$269.15
Median
$354.81
Typical High
$562.34
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,174.90
Typical High
$1,174.90
Midlands
Setting
Professional
Modifier
RR · Rental
Typical Low
$114.82
Median
$117.49
Typical High
$117.49
Midlands
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$851.14
Median
$891.25
Typical High
$891.25
United
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$467.74
Typical High
$724.44
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$34.67
Median
$46.77
Typical High
$72.44
United
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$257.04
Median
$354.81
Typical High
$549.54

Where Nebraska sits

The same service costs 2.6 times more in Hawaii than in Illinois. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Nebraska· 5th of 51

$871

HI $1,202IL $468

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.