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See a sample rate comparisonHCPCS E0952 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Toe loop/holder, any type, each
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Wheelchair Accessories |
| Complexity Level | Low |
| Medicaid Fee Schedule | $18.83 median of the 5 states in the free preview · View Medicaid rates for E0952 |
National average reimbursement for HCPCS E0952 by major payers:
$13.13
$12.19
$11.68
$23.50
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HCPCS E0952
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$27.35Published rateDonalsonville Hospital Inc
$10.40Published rateScreven County Hospital, LLC, Optim Medical Center - Screven
$9.22Published rateArthur M. Blank Hospital, Inc., Arthur M. Blank Hospital
Childrens Healthcare Of Atlanta Inc
$1.32Published rateWildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
$0.66Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E0952 vs. Other Wheelchair Accessories Codes
The HCPCS E0952 code is part of the Durable Medical Equipment services used for Wheelchair Accessories. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS E0952 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| E0951-HCPCS | Low | Heel loop/holder, any type, with or without ankle strap, each |
| E0952-HCPCS | Low | Toe loop/holder, any type, each |
| E0953-HCPCS | Low | Wheelchair accessory, lateral thigh or knee support, any type including fixed mounting hardware, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0952. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0952 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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