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See a sample rate comparisonHCPCS E1037 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.
Transport chair, pediatric size
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Transport Chairs |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $1,180.995 median of the 4 states in the free preview · View Medicaid rates for E1037 |
National average reimbursement for HCPCS E1037 by major payers:
$794.37
$558.17
$731.07
$1,605.95
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HCPCS E1037
5 of 25 sample ratesHigher to lower in this preview
Christopher Raio
Mercy Medical Center
$1,139.18Published rateHospital Authority Of Candler County, Candler County Hospital
$538.44Published rateUjuka Iloabuchi
Atlanta Womens Health Group, P.C.
$419.89Published rateJasper Health Services, Inc., Jasper Memorial Hospital
Jasper Health Services Inc
$70.51Published rateMichael Guillette
Aztec Urgent Care LLC
$59.43Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E1037 vs. Other Transport Chairs Codes
The HCPCS E1037 code is part of the Durable Medical Equipment services used for Transport Chairs. 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 E1037 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 |
|---|---|---|
| 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 |
| E1038-HCPCS | Low | Transport chair, adult size, patient weight capacity up to and including 300 pounds |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E1037. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1037 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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