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See a sample rate comparisonHCPCS E1250 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.
Lightweight wheelchair, fixed full length arms, swing away detachable footrest
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Lightweight Wheelchairs |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $684.70 median of the 5 states in the free preview · View Medicaid rates for E1250 |
National average reimbursement for HCPCS E1250 by major payers:
$442.26
$492.80
$339.46
$715.31
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HCPCS E1250
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,488.41Published rateClinch County Hospital Authority
$491.72Published rateDodge County Hospital Authority, Dodge County Hospital
Dodge County Hospital Authority
$340.14Published rateMonroe Hma, LLC, Clearview Regional Medical Center
Monroe Hma LLC
$45.52Published rateEmanuel County Hospital Authority, Emanuel Medical Center
$38.27Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E1250 vs. Other Lightweight Wheelchairs Codes
The HCPCS E1250 code is part of the Durable Medical Equipment services used for Lightweight 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 E1250 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 |
|---|---|---|
| E1240-HCPCS | Moderate | Lightweight wheelchair, detachable arms, (desk or full length) swing away detachable, elevating legrest |
| E1250-HCPCS | Moderate | Lightweight wheelchair, fixed full length arms, swing away detachable footrest |
| E1260-HCPCS | Moderate | Lightweight wheelchair, detachable arms (desk or full length) 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 E1250. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1250 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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