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Manual Wheelchair Seat Frame, Depth 22-25 in

Utah 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?

$575

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $575 for this service. The price depends on where it is billed: about $490 from a physician practice, and about $575 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$490$107 to $776
FacilityA hospital or hospital-owned outpatient department$575$309 to $871

How much rates vary

Facilitymedian $575 · 10th to 90th $309 to $891Professionalmedian $490 · 10th to 90th $76 to $955
$50$100$200$500$1Kfacility $575professional $490

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
Aetna
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$724.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$575.44
Typical High
$1,047.13
Molina
Setting
Professional
Modifier
None
Typical Low
$398.11
Median
$645.65
Typical High
$831.76
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$870.96
Typical High
$1,412.54
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$891.25
Typical High
$1,122.02
Select Health
Setting
Facility
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$891.25
Select Health
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$107.15
Typical High
$1,071.52
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$72.44
Median
$588.84
Typical High
$912.01
United
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$436.52
Typical High
$691.83

Where Utah 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.

Utah· 41st of 51

$575

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.