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See a sample rate comparisonHCPCS E2611 Fee Schedule
Last Verified: September 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.
General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Wheelchair Seat and Back Cushions |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for E2611 |
National average reimbursement for HCPCS E2611 by major payers:
$134.91
$177.66
$188.47
$215.30
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HCPCS E2611
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$539.57Published rateTift Regional Health System Inc., Tift Regional Medical Center
Tift Regional Health System Inc
$295.17Published rateMonroe Hma, LLC, Clearview Regional Medical Center
Monroe Hma LLC
$184.50Published rateLeigh Taylor
$119.62Published rateLeigh Taylor
$11.96Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E2611 vs. Other Wheelchair Seat and Back Cushions Codes
The HCPCS E2611 code is part of the Durable Medical Equipment services used for Wheelchair Seat and Back Cushions. 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 E2611 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 |
|---|---|---|
| E2610-HCPCS | Moderate | Wheelchair seat cushion, powered |
| E2611-HCPCS | Low | General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware |
| E2612-HCPCS | Moderate | General use wheelchair back cushion, width 22 inches or greater, any height, including any type mounting hardware |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E2611. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E2611 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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