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See a sample rate comparisonHCPCS E0957 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, medial thigh support, any type, including fixed mounting hardware, each
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Wheelchair Accessories |
| Complexity Level | Low |
| Medicaid Fee Schedule | $142.03 median of the 5 states in the free preview · View Medicaid rates for E0957 |
National average reimbursement for HCPCS E0957 by major payers:
$99.43
$90.84
$97.56
$170.97
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HCPCS E0957
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$225.75Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$110.33Published rateBacon County Health Services, Inc, Bacon County Rural Health Clinic
Bacon County Health Services Inc
$73.59Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$42.35Published rateNgmc Barrow LLC, Ngmc Barrow
Gainesville Radiology Group
$7.05Published rate
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See a sample payer proposalHCPCS E0957 vs. Other Wheelchair Accessories Codes
The HCPCS E0957 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 E0957 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 |
|---|---|---|
| E0956-HCPCS | Low | Wheelchair accessory, lateral trunk or hip support, any type, including fixed mounting hardware, each |
| E0957-HCPCS | Low | Wheelchair accessory, medial thigh support, any type, including fixed mounting hardware, each |
| E0958-HCPCS | Moderate | Manual wheelchair accessory, one-arm drive attachment, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0957. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0957 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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