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See a sample rate comparisonHCPCS E1195 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.
Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Amputee Wheelchairs |
| Complexity Level | High |
| Medicaid Fee Schedule | $961.11 median of the 3 states in the free preview · View Medicaid rates for E1195 |
National average reimbursement for HCPCS E1195 by major payers:
$1,138.39
$786.56
$837.30
$1,512.24
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HCPCS E1195
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$2,059.05Published rateTy Cobb Healthcare System, Cobb Memorial Hospital
Community Services Group Inc
$694.21Published rateElbert Memorial Hospital
$570.09Published rateStephens County Anesthesia Services,LLC
Stephens County Anesthesia Servicesllc
$100.91Published rateHospital Authority Of Washington County, Washington County Regional Medical Center
$70.05Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E1195 vs. Other Amputee Wheelchairs Codes
The HCPCS E1195 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 E1195 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 |
|---|---|---|
| E1190-HCPCS | Moderate | Amputee wheelchair, detachable arms (desk or full length) swing away detachable elevating legrests |
| E1195-HCPCS | High | Heavy duty wheelchair, fixed full length arms, swing away detachable elevating legrests |
| E1200-HCPCS | Moderate | Amputee wheelchair, fixed full length arms, swing away detachable footrest |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E1195. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1195 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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