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See a sample rate comparisonHCPCS E1230 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.
Power operated vehicle (three or four wheel nonhighway) specify brand name and model number
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Pediatric Wheelchairs |
| Complexity Level | High |
| Medicaid Fee Schedule | $2,198.685 median of the 6 states in the free preview · View Medicaid rates for E1230 |
National average reimbursement for HCPCS E1230 by major payers:
$1,750.31
$1,589.48
$2,260.96
$3,758.76
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HCPCS E1230
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$5,877.95Published rateUjuka Iloabuchi
Atlanta Womens Health Group, P.C.
$1,576.57Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$1,113.31Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$264.19Published rateMichael Guillette
Aztec Urgent Care LLC
$121.86Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E1230 vs. Other Pediatric Wheelchairs Codes
The HCPCS E1230 code is part of the Durable Medical Equipment services used for Pediatric 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 E1230 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 |
|---|---|---|
| E1229-HCPCS | High | Wheelchair, pediatric size, not otherwise specified |
| E1230-HCPCS | High | Power operated vehicle (three or four wheel nonhighway) specify brand name and model number |
| E1231-HCPCS | High | Wheelchair, pediatric size, tilt-in-space, rigid, adjustable, with seating system |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E1230. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1230 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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