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See a sample rate comparisonHCPCS E0969 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.
Narrowing device, wheelchair
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Wheelchair Accessories |
| Complexity Level | Low |
| Medicaid Fee Schedule | $172.625 median of the 6 states in the free preview · View Medicaid rates for E0969 |
National average reimbursement for HCPCS E0969 by major payers:
$140.26
$112.04
$109.83
$261.94
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HCPCS E0969
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$400.30Published rateMonroe Hma, LLC, Clearview Regional Medical Center
Monroe Hma LLC
$123.34Published rateJasper Health Services, Inc., Jasper Memorial Hospital
Jasper Health Services Inc
$101.80Published rateBradley Weisner
Urology Specialists Of The Carolinas, PLLC
$13.96Published rateDevon Daney
Aztec Urgent Care LLC
$8.50Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E0969 vs. Other Wheelchair Accessories Codes
The HCPCS E0969 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 E0969 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 |
|---|---|---|
| E0968-HCPCS | Low | Commode seat, wheelchair |
| E0969-HCPCS | Low | Narrowing device, wheelchair |
| E0970-HCPCS | Low | No.2 footplates, except for elevating leg rest |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0969. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0969 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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