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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 July 2026.

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

$490

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $537 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$490$457 to $589
FacilityA hospital or hospital-owned outpatient department$537$309 to $724

How much rates vary

Facilitymedian $537 · 10th to 90th $51 to $4,571Professionalmedian $490 · 10th to 90th $380 to $851
$50$100$200$500$1K$2K$5Kfacility $537professional $490

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$489.78
Typical High
$851.14
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$707.95
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$1,047.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$575.44
Typical High
$831.76
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$676.08
Typical High
$676.08
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$489.78
Typical High
$616.60
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$5,495.41
Typical High
$7,413.10
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$831.76
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$389.05
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$478.63
Typical High
$870.96

Where Pennsylvania sits

The same service costs 1.9 times more in South Dakota than in Oklahoma. 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· 44th of 51

$490

SD $871OK $447

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.