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See a sample rate comparisonHCPCS E1020 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.
Residual limb support system for wheelchair, any type
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Wheelchair Accessories |
| Complexity Level | Low |
| Medicaid Fee Schedule | $243.535 median of the 4 states in the free preview · View Medicaid rates for E1020 |
National average reimbursement for HCPCS E1020 by major payers:
$134.78
$140.54
$106.66
$259.02
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HCPCS E1020
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$373.69Published rateHospital Authority Of Jenkins County
$158.22Published rateLeigh Taylor
$96.81Published rateUjuka Iloabuchi
Gwinnett Obgyn Associates Of Georgia LLC
$38.36Published rateMeriwether Healthcare, L.L.C., Warm Springs Medical Center
Meriwether Healthcare, LLC D/B/A Warm Springs Medical Center
$11.65Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E1020 vs. Other Wheelchair Accessories Codes
The HCPCS E1020 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 E1020 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 |
|---|---|---|
| E1018-HCPCS | Low | Heavy duty shock absorber for heavy duty or extra heavy duty power wheelchair, each |
| E1020-HCPCS | Low | Residual limb support system for wheelchair, any type |
| E1028-HCPCS | Low | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E1020. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1020 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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