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See a sample rate comparisonHCPCS E1036 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Wheelchair Accessories |
| Complexity Level | High |
| Medicaid Fee Schedule | $9,497.775 median of the 4 states in the free preview · View Medicaid rates for E1036 |
National average reimbursement for HCPCS E1036 by major payers:
$7,298.91
$682.68
$42.23
$12,906.83
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HCPCS E1036
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,949.02Published rateHospital Authority Of Ben Hill, Dorminy Medical Center
$586.71Published rateUpson County Hospital Inc, Upson Regional Medical Center
Upson County Hospital Inc
$522.55Published rateJeremy Kelley
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$511.16Published rateMiguel A. Arenas, M.D., PC
Miguel A Arenas Md PC
$340.76Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E1036 vs. Other Wheelchair Accessories Codes
The HCPCS E1036 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 E1036 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 |
|---|---|---|
| E1035-HCPCS | High | Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs |
| E1036-HCPCS | High | Multi-positional patient transfer system, extra-wide, with integrated seat, operated by caregiver, patient weight capacity greater than 300 lbs |
| E1037-HCPCS | Moderate | Transport chair, pediatric size |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E1036. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1036 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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