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See a sample rate comparisonHCPCS E0955 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.
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Wheelchair Accessories |
| Complexity Level | Low |
| Medicaid Fee Schedule | $169.62 median of the 4 states in the free preview · View Medicaid rates for E0955 |
National average reimbursement for HCPCS E0955 by major payers:
$135.53
$107.36
$122.10
$204.53
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HCPCS E0955
5 of 25 sample ratesHigher to lower in this preview
The Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$244.03Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$131.41Published rateFloyd Healthcare Management Inc, Atrium Health Floyd Medical Center
Floyd Healthcare Management, Inc.
$80.16Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Emory University
$31.11Published rateBacon County Health Services, Inc.
Bacon County Health Services Inc
$9.35Published rate
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See a sample payer proposalHCPCS E0955 vs. Other Wheelchair Accessories Codes
The HCPCS E0955 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 E0955 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 |
|---|---|---|
| E0954-HCPCS | Low | Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot |
| E0955-HCPCS | Low | Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each |
| E0956-HCPCS | Low | Wheelchair accessory, lateral trunk or hip 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 E0955. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0955 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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