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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 July 2026.

Facilitymedian $417 · 10th–90th $42$6170%20%10th90th$417Professionalmedian $575 · 10th–90th $89$3,6310%10%10th90th$575$10.0$50.0$200.0$1.0K

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
$309.03
Median
$831.76
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$575.44
Typical High
$1,047.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$645.65
Typical High
$831.76
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$891.25
Typical High
$1,122.02
Select Health
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$107.15
Typical High
$1,023.29
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$107.15
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$380.19
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$436.52
Typical High
$776.25