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See a sample rate comparisonHCPCS E1130 Fee Schedule
Last Verified: September 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.
Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Standard Wheelchairs |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for E1130 |
National average reimbursement for HCPCS E1130 by major payers:
$257.45
$319.85
$225.83
$444.91
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HCPCS E1130
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,219.86Published rateChatuge Regional Hospital Inc
$319.23Published rateBacon County Health Services, Inc.
Bacon County Health Services Inc
$278.76Published rateLeigh Taylor
$211.77Published rateElbert Memorial Hospital
$26.70Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E1130 vs. Other Standard Wheelchairs Codes
The HCPCS E1130 code is part of the Durable Medical Equipment services used for Standard 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 E1130 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 |
|---|---|---|
| E1110-HCPCS | Moderate | Semi-reclining wheelchair, detachable arms (desk or full length) elevating legrest |
| E1130-HCPCS | Moderate | Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests |
| E1140-HCPCS | Moderate | Wheelchair, detachable arms, desk or full length, swing away detachable footrests |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E1130. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1130 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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