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Manual Wheelchair Seat Frame, Depth 22-25 in

Pennsylvania 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?

$617

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $617 for this service. The price depends on where it is billed: about $617 from a physician practice, and about $759 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$617$490 to $813
FacilityA hospital or hospital-owned outpatient department$759$575 to $3,715

How much rates vary

Facilitymedian $759 · 10th to 90th $575 to $5,129Professionalmedian $617 · 10th to 90th $437 to $832
$100$500$2K$10K$50Kfacility $759professional $617

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
$457.09
Median
$489.78
Typical High
$489.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$457.09
Typical High
$524.81
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$281.84
Median
$346.74
Typical High
$363.08
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$79,432.82
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$676.08
Typical High
$812.83
Capital Blue Cross
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$501.19
Median
$501.19
Typical High
$602.56
Cigna
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$758.58
Cigna
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$575.44
Typical High
$758.58
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Cigna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$758.58
Typical High
$831.76
Geisinger
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$831.76
Typical High
$831.76
Geisinger
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$575.44
Typical High
$831.76
Geisinger
Setting
Professional
Modifier
RR · Rental
Typical Low
$50.12
Median
$57.54
Typical High
$83.18
Geisinger
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$371.54
Median
$436.52
Typical High
$616.60
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$457.09
Typical High
$489.78
Martin's Point
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$323.59
Median
$346.74
Typical High
$363.08
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$3,715.35
Typical High
$6,309.57
UPMC Health Plan
Setting
Facility
Modifier
RR · Rental
Typical Low
$81.28
Median
$371.54
Typical High
$630.96
UPMC Health Plan
Setting
Facility
Modifier
UE · Used equipment
Typical Low
$602.56
Median
$2,754.23
Typical High
$4,786.30
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$831.76
Typical High
$831.76
UPMC Health Plan
Setting
Professional
Modifier
RR · Rental
Typical Low
$81.28
Median
$83.18
Typical High
$83.18
UPMC Health Plan
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$602.56
Median
$630.96
Typical High
$630.96
United
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$446.68
Typical High
$741.31
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$30.90
Median
$44.67
Typical High
$72.44
United
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$234.42
Median
$331.13
Typical High
$549.54

Where Pennsylvania 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.

Pennsylvania· 33rd of 51

$617

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.