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See a sample rate comparisonHCPCS E1200 Fee Schedule
Last Verified: October 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.
Amputee wheelchair, fixed full length arms, swing away detachable footrest
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Amputee Wheelchairs |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $677.42 median of the 4 states in the free preview · View Medicaid rates for E1200 |
National average reimbursement for HCPCS E1200 by major payers:
$809.02
$544.83
$593.93
$1,239.02
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HCPCS E1200
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$2,234.50Published rateMeriwether County Hospital Authority, Warm Springs Medical Center
Meriwether Healthcare, LLC D/B/A Warm Springs Medical Center
$510.64Published rateMichael Koch
Chestatee Pathology Associates PC
$382.94Published rateEmory University, Emory University Hospital
Emory University
$192.19Published rateEmory Healthcare
Cardiac Arrhythmia Institute
$51.54Published rate
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See a sample payer proposalHCPCS E1200 vs. Other Amputee Wheelchairs Codes
The HCPCS E1200 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 E1200 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 |
|---|---|---|
| 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 |
| E1220-HCPCS | Moderate | Wheelchair; specially sized or constructed, (indicate brand name, model number, if any) and justification |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E1200. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1200 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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