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Manual Wheelchair Seat Frame, Depth 22-25 in

Texas rates for HCPCS E2204

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

Rates data updated July 2026.

Facilitymedian $631 · 10th–90th $115$4,2660%10%10th90th$631Professionalmedian $479 · 10th–90th $380$7940%10%20%10th90th$479$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
$416.87
Median
$478.63
Typical High
$794.33
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$63.10
Typical High
$63.10
Baylor Scott & White
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$549.54
Typical High
$588.84
Christus
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$707.95
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$4,265.80
Typical High
$4,265.80
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$707.95
Typical High
$1,148.15
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$831.76
Typical High
$870.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$645.65
Typical High
$645.65
Providence
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$707.95
Typical High
$1,148.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$363.08
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$489.78
Typical High
$691.83
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83