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See a sample rate comparisonHCPCS E1100 Fee Schedule
Last Verified: September 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.
Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating legrests
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Semi-reclining Wheelchairs |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for E1100 |
National average reimbursement for HCPCS E1100 by major payers:
$1,027.46
$649.92
$470.82
$1,493.91
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HCPCS E1100
5 of 25 sample ratesHigher to lower in this preview
The Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$1,251.50Published rateEvans Memorial Hospital, Inc.
Evans Memorial Hospital Inc
$589.96Published rateLower Oconee Community Hospital Inc
$471.07Published rateDublin Vamc
$83.05Published rateMichael Guillette
Aztec Urgent Care LLC
$56.86Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E1100 vs. Other Semi-reclining Wheelchairs Codes
The HCPCS E1100 code is part of the Durable Medical Equipment services used for Semi-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 E1100 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 |
|---|---|---|
| E1093-HCPCS | Moderate | Wide heavy duty wheelchair, detachable arms desk or full length arms, swing away detachable footrests |
| E1100-HCPCS | High | Semi-reclining wheelchair, fixed full length arms, swing away detachable elevating legrests |
| E1110-HCPCS | Moderate | Semi-reclining wheelchair, detachable arms (desk or full length) 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 E1100. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1100 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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