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HCPCS K0195 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.

Elevating leg rests, pair (for use with capped rental wheelchair base)
Key FactDetail
Service Type

Durable medical equipment (DME) Medicare administrative contractors (MACs)

Wheelchairs, Components, and Accessories

Complexity LevelLow
Medicaid Fee ScheduleView Medicaid rates for K0195

National average reimbursement for HCPCS K0195 by major payers:

bcbs

$86.50

uhc

$13.42

aetna

$84.92

cigna

$160.42

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS K0195.

HCPCS K0195
5 of 25 sample ratesHigher to lower in this preview
  1. Lincare Inc.

    NYDurable Medical Equipment & Medical SuppliesNPI 1487728929Tax ID 59-2852900

    $160.39Published rate
  2. Ranbow Supply Of Ny Inc

    NYDurable Medical Equipment & Medical SuppliesNPI 1356370555Tax ID 84-1683075

    $96.19Published rate
  3. Borbas Surgical Supply, Inc

    Borbas Surgical Supply Inc

    NYDurable Medical Equipment & Medical SuppliesNPI 1134259328Tax ID 11-3568895

    $81.05Published rate
  4. Hematology-Oncology Associates Of Western Suffolk PC

    Hematology Oncology Associates Of Western Suffolk, P.C.

    NYDurable Medical Equipment & Medical SuppliesNPI 1972718211Tax ID 11-2543318

    $15.57Published rate
  5. Liberty Respiratory Care Inc.

    Liberty Respiratory Care Inc

    NYDurable Medical Equipment & Medical SuppliesNPI 1821108820Tax ID 11-2533366

    $6.78Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS K0195 vs. Other Wheelchairs, Components, and Accessories Codes

The HCPCS K0195 code is part of the Durable medical equipment (DME) Medicare administrative contractors (MACs) services used for Wheelchairs, Components, and 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 K0195 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.

CodeComplexityDescription
K0108-HCPCSLowWheelchair component or accessory, not otherwise specified
K0195-HCPCSLowElevating leg rests, pair (for use with capped rental wheelchair base)
K0455-HCPCSHighInfusion pump used for uninterrupted parenteral administration of medication, (e.g., epoprostenol or treprostinol)

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS K0195. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the K0195 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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