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Manual Wheelchair Seat Frame, Depth 22-25 in

Wisconsin rates for HCPCS E2204

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

Rates data updated July 2026.

Facilitymedian $832 · 10th–90th $93$1,9050%10%10th90th$832Professionalmedian $813 · 10th–90th $479$1,1480%20%10th90th$813$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,698.24
Typical High
$1,698.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$933.25
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$741.31
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,122.02
Typical High
$1,819.70
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$831.76
Typical High
$1,318.26
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$1,148.15
Typical High
$4,168.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$537.03
Typical High
$912.01
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$741.31
Network Health
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$891.25
Typical High
$1,584.89
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$831.76
Typical High
$1,318.26
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Quartz
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$190.55
Typical High
$263.03
Quartz
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$1,905.46
Typical High
$4,265.80
Quartz
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$575.44
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$371.54
Typical High
$724.44
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$524.81
Typical High
$1,071.52