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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 October 2026.

How much does Manual Wheelchair Seat Frame, Depth 22-25 in cost?

$933

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $933 for this service. The price depends on where it is billed: about $933 from a physician practice, and about $1,023 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$933$692 to $1,047
FacilityA hospital or hospital-owned outpatient department$1,023$832 to $1,413

How much rates vary

Facilitymedian $1,023 · 10th to 90th $575 to $2,512Professionalmedian $933 · 10th to 90th $490 to $1,175
$200$500$1K$2Kfacility $1,023professional $933

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$776.25
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$416.87
Median
$588.84
Typical High
$1,122.02
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$1,071.52
Typical High
$1,548.82
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$933.25
Typical High
$1,174.90
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$69.18
Median
$93.33
Typical High
$114.82
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$524.81
Median
$707.95
Typical High
$870.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$2,511.89
Typical High
$3,311.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$977.24
Typical High
$1,288.25
DeanCare
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$1,148.15
Typical High
$1,202.26
DeanCare
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Medica
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$1,148.15
Typical High
$4,168.69
Medica
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$588.84
Typical High
$1,148.15
Medica
Setting
Professional
Modifier
RR · Rental
Typical Low
$40.74
Median
$58.88
Typical High
$114.82
Medica
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$309.03
Median
$436.52
Typical High
$851.14
Network Health
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$870.96
Typical High
$1,479.11
Prevea360
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$1,148.15
Typical High
$1,202.26
Prevea360
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Quartz
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$190.55
Typical High
$371.54
Quartz
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$758.58
Quartz
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$575.44
Typical High
$758.58
United
Setting
Professional
Modifier
None
Typical Low
$363.08
Median
$588.84
Typical High
$1,096.48
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$36.31
Median
$58.88
Typical High
$109.65
United
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$275.42
Median
$436.52
Typical High
$812.83

Where Wisconsin 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.

Wisconsin· 3rd of 51

$933

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.