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See a sample rate comparisonHCPCS E1260 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, detachable arms (desk or full length) swing away detachable footrest
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Lightweight Wheelchairs |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $626.795 median of the 4 states in the free preview · View Medicaid rates for E1260 |
National average reimbursement for HCPCS E1260 by major payers:
$534.22
$575.91
$512.00
$578.85
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HCPCS E1260
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,732.36Published rateUnion County Hospital Authority, Union General Hospital
Union County Hospital Authority
$744.97Published rateHouston Hospitals Inc, Houston Medical Center
Houston Hospitals Inc
$480.54Published ratePiedmont Newton Ekg Billing LLC
Piedmont Newton Hospital Inc
$379.75Published ratePatrick Reidy
Florida Gulf Coast Ear, Nose And Throat, LLC
$49.10Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E1260 vs. Other Lightweight Wheelchairs Codes
The HCPCS E1260 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 E1260 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 |
|---|---|---|
| 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 |
| E1270-HCPCS | Moderate | Lightweight wheelchair, fixed full length arms, swing away detachable elevating legrests |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E1260. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1260 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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