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Manual Wheelchair Seat Frame, Depth 22-25 in

Washington rates for HCPCS E2204

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

Rates data updated July 2026.

Facilitymedian $513 · 10th–90th $79$8710%20%10th90th$513Professionalmedian $457 · 10th–90th $98$1,0470%20%40%10th90th$457$1.0$5.0$20.0$100.0$500.0$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
$436.52
Median
$457.09
Typical High
$3,630.78
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$812.83
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$870.96
Typical High
$954.99
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
$758.58
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,148.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,148.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$776.25
Typical High
$954.99
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$831.76
Typical High
$870.96
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$131.83
Typical High
$1,047.13
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$691.83
Typical High
$977.24
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$169.82
Typical High
$794.33
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$870.96
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$363.08
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$446.68
Typical High
$831.76
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83