go back

Texas rates for HCPCS E2204

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

Facilitymedian $589 · 10th–90th $72$4,2660%10%10th90th$589Professionalmedian $575 · 10th–90th $427$7410%10%20%10th90th$575$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $575.44 / $741.31
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,148.15 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $63.10 / $63.10
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $549.54 / $588.84
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $758.58
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $4,265.80 / $4,265.80
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $707.95 / $1,148.15
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $707.95 / $870.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $707.95 / $1,148.15
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $707.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $331.13 / $575.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $478.63 / $691.83
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $691.83