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See a sample rate comparisonHCPCS E1180 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.
Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Amputee Wheelchairs |
| Complexity Level | High |
| Medicaid Fee Schedule | $775.63 median of the 4 states in the free preview · View Medicaid rates for E1180 |
National average reimbursement for HCPCS E1180 by major payers:
$1,072.86
$634.55
$511.96
$1,630.76
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HCPCS E1180
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$2,602.34Published rateLeigh Taylor
$594.71Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$127.58Published rateMeriwether Healthcare, L.L.C., Warm Springs Medical Center
Meriwether Healthcare, LLC D/B/A Warm Springs Medical Center
$60.04Published ratePatrick Reidy
Florida Gulf Coast Ear, Nose And Throat, LLC
$51.68Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E1180 vs. Other Amputee Wheelchairs Codes
The HCPCS E1180 code is part of the Durable Medical Equipment services used for Amputee 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 E1180 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 |
|---|---|---|
| E1172-HCPCS | Moderate | Amputee wheelchair, detachable arms (desk or full length) without footrests or legrest |
| E1180-HCPCS | High | Amputee wheelchair, detachable arms (desk or full length) swing away detachable footrests |
| E1190-HCPCS | Moderate | Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E1180. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1180 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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