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See a sample rate comparisonHCPCS E1028 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, manual swingaway, retractable or removable mounting hardware, other
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Wheelchair Accessories |
| Complexity Level | Low |
| Medicaid Fee Schedule | $164.70 median of the 5 states in the free preview · View Medicaid rates for E1028 |
National average reimbursement for HCPCS E1028 by major payers:
$106.68
$113.71
$99.40
$193.18
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HCPCS E1028
5 of 25 sample ratesHigher to lower in this preview
Ujuka Iloabuchi
Gwinnett Obgyn Associates Of Georgia LLC
$325.79Published rateChatuge Regional Hospital Inc
$134.25Published rateHamilton Medical Center, Inc.
Hamilton Medical Center Inc
$81.80Published rateWildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
$43.63Published rateScottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$9.23Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E1028 vs. Other Wheelchair Accessories Codes
The HCPCS E1028 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 E1028 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 |
|---|---|---|
| E1020-HCPCS | Low | Residual limb support system for wheelchair, any type |
| E1028-HCPCS | Low | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other |
| E1029-HCPCS | Moderate | Wheelchair accessory, ventilator tray, fixed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E1028. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1028 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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