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See a sample rate comparisonHCPCS E0966 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.
Manual wheelchair accessory, headrest extension, each
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Wheelchair Accessories |
| Complexity Level | Low |
| Medicaid Fee Schedule | $85.27 median of the 5 states in the free preview · View Medicaid rates for E0966 |
National average reimbursement for HCPCS E0966 by major payers:
$58.84
$48.90
$46.81
$103.77
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HCPCS E0966
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$139.63Published rateTift Regional Health System, Inc., Southwell Medical
Tift Regional Health System Inc
$61.95Published rateArthur M. Blank Hospital, Inc., Arthur M. Blank Hospital
Childrens Healthcare Of Atlanta Inc
$41.75Published rateMichael Koch
Chestatee Pathology Associates PC
$31.31Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Grady Memorial Hospital Corporation
$4.17Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E0966 vs. Other Wheelchair Accessories Codes
The HCPCS E0966 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 E0966 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 |
|---|---|---|
| E0961-HCPCS | Low | Manual wheelchair accessory, wheel lock brake extension (handle), each |
| E0966-HCPCS | Low | Manual wheelchair accessory, headrest extension, each |
| E0967-HCPCS | Low | Manual wheelchair accessory, hand rim with projections, any type, replacement only, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0966. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0966 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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