Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS E1237 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.
Wheelchair, pediatric size, rigid, adjustable, without seating system
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Pediatric Wheelchairs |
| Complexity Level | High |
| Medicaid Fee Schedule | $2,025.275 median of the 4 states in the free preview · View Medicaid rates for E1237 |
National average reimbursement for HCPCS E1237 by major payers:
$1,651.79
$1,140.74
$1,209.50
$2,714.72
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS E1237.
HCPCS E1237
5 of 25 sample ratesHigher to lower in this preview
Emory Healthcare
Emory University
$3,187.86Published rateMonroe Hma, LLC, Clearview Regional Medical Center
Monroe Hma LLC
$1,301.78Published rateScottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$834.97Published rateAtlanta Vamc
$132.24Published rateMichael Guillette
Aztec Urgent Care LLC
$90.55Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS E1237 vs. Other Pediatric Wheelchairs Codes
The HCPCS E1237 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 E1237 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 |
|---|---|---|
| E1236-HCPCS | High | Wheelchair, pediatric size, folding, adjustable, with seating system |
| E1237-HCPCS | High | Wheelchair, pediatric size, rigid, adjustable, without seating system |
| E1238-HCPCS | High | Wheelchair, pediatric size, folding, adjustable, without 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 E1237. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1237 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS E1237) and we'll show you how you compare in 15 minutes or less.