go back

Manual Wheelchair Seat Frame, Depth 22-25 in

South Dakota rates for HCPCS E2204

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

Rates data updated July 2026.

Facilitymedian $589 · 10th–90th $59$4,1690%10%20%10th90th$589Professionalmedian $871 · 10th–90th $468$1,1480%20%10th90th$871$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$831.76
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,288.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,202.26
Typical High
$4,168.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$512.86
Typical High
$933.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,148.15
Typical High
$1,148.15
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
$51.29
Median
$436.52
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$776.25
Typical High
$1,047.13
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99