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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Power Wheelchair Accessories |
| Complexity Level | Low |
| Medicaid Fee Schedule | $71.08 median of the 5 states in the free preview · View Medicaid rates for E2394 |
National average reimbursement for HCPCS E2394 by major payers:

$48.22

$48.44

$50.75

$82.83
Choose a payer to see a sample of rates for HCPCS E2394.
The Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
Piedmont Newton Ekg Billing LLC
Piedmont Newton Hospital Inc
Dodge County Hospital Authority, Dodge County Hospital
Dodge County Hospital Authority
Floyd Healthcare Management Inc, Atrium Health Floyd Medical Center
Floyd Healthcare Management, Inc.
Chi Memorial Hospital
Chi Memorial Hospital - Georgia
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS E2394 vs. Other Power Wheelchair Accessories Codes
The HCPCS E2394 code is part of the Durable Medical Equipment services used for Power Wheelchair Accessories. 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 E2394 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 |
|---|---|---|
| E2392-HCPCS | Low | Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each |
| E2394-HCPCS | Low | Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each |
| E2395-HCPCS | Low | Power wheelchair accessory, caster wheel excludes tire, any size, replacement only, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E2394. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E2394 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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