Rate Benchmarking
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Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Fully Reclining Wheelchairs |
| Complexity Level | High |
| Medicaid Fee Schedule | $729.25 median of the 4 states in the free preview · View Medicaid rates for E1070 |
National average reimbursement for HCPCS E1070 by major payers:

$1,211.43

$685.99

$693.37

$1,706.80
Choose a payer to see a sample of rates for HCPCS E1070.
The Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
Ngmc Barrow LLC, Ngmc Barrow
Gainesville Radiology Group
Smith Of Georgia, Smith Northview Hospitalists
Smith Of Georgia
Paulding Medical Center, Inc., Wellstar Paulding Hospital
Paulding Medical Center Inc
Wildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS E1070 vs. Other Fully Reclining Wheelchairs Codes
The HCPCS E1070 code is part of the Durable Medical Equipment services used for Fully Reclining Wheelchairs. 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 E1070 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 |
|---|---|---|
| E1060-HCPCS | High | Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests |
| E1070-HCPCS | High | Fully-reclining wheelchair, detachable arms (desk or full length) swing away detachable footrest |
| E1083-HCPCS | Moderate | Hemi-wheelchair, fixed full length arms, swing away detachable elevating legrest |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E1070. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1070 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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