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See a sample rate comparisonHCPCS E1016 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.
Shock absorber for power wheelchair, each
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Wheelchair Accessories |
| Complexity Level | Low |
| Medicaid Fee Schedule | $135.22 median of the 5 states in the free preview · View Medicaid rates for E1016 |
National average reimbursement for HCPCS E1016 by major payers:
$83.84
$85.82
$81.02
$161.72
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HCPCS E1016
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$219.50Published rateThe Baxley And Appling County Hospital Authority, Appling Healthcare System
Appling Hospital
$98.48Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$74.09Published ratePhoebe Putney Memorial Hospital Inc, Phoebe Putney Memorial Hosptial
Phoebe Putney Memorial Hospital Inc
$15.46Published rateGood Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital
Good Samaritan Hospital Inc
$4.50Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E1016 vs. Other Wheelchair Accessories Codes
The HCPCS E1016 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 E1016 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 |
|---|---|---|
| E1015-HCPCS | Low | Shock absorber for manual wheelchair, each |
| E1016-HCPCS | Low | Shock absorber for power wheelchair, each |
| E1017-HCPCS | Low | Heavy duty shock absorber for heavy duty or extra heavy duty manual wheelchair, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E1016. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1016 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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