# HCPCS E0950: Wheelchair accessory, tray

Medicare HCPCS E0950 pays $95.76 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural, NU · purchase, new). State amounts run from $88.34 in Pennsylvania to $164.14 in Alaska, a 86% spread.

Web page: https://www.med-reveal.com/rates/E0950-hcpcs-fee-schedule
Section: DME, Prosthetics, Orthotics and Supplies

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $95.76 |
| National facility | $95.76 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $164.14 | $164.14 |
| Puerto Rico | $121.35 | $121.35 |
| Hawaii | $120.63 | $120.63 |
| Virgin Islands | $105.49 | $105.49 |
| Colorado | $97.21 | $97.21 |
| Idaho | $97.21 | $97.21 |
| Montana | $97.21 | $97.21 |
| Utah | $97.21 | $97.21 |
| Wyoming | $97.21 | $97.21 |
| Iowa | $96.42 | $96.42 |
| Kansas | $96.42 | $96.42 |
| Minnesota | $96.42 | $96.42 |
| Missouri | $96.42 | $96.42 |
| Nebraska | $96.42 | $96.42 |
| North Dakota | $96.42 | $96.42 |
| South Dakota | $96.42 | $96.42 |
| Illinois | $95.18 | $95.18 |
| Indiana | $95.18 | $95.18 |
| Michigan | $95.18 | $95.18 |
| Ohio | $95.18 | $95.18 |
| Wisconsin | $95.18 | $95.18 |
| Alabama | $94.50 | $94.50 |
| Arkansas | $94.50 | $94.50 |
| Florida | $94.50 | $94.50 |
| Georgia | $94.50 | $94.50 |
| Kentucky | $94.50 | $94.50 |
| Louisiana | $94.50 | $94.50 |
| Mississippi | $94.50 | $94.50 |
| North Carolina | $94.50 | $94.50 |
| South Carolina | $94.50 | $94.50 |
| Tennessee | $94.50 | $94.50 |
| Virginia | $94.50 | $94.50 |
| West Virginia | $94.50 | $94.50 |
| Arizona | $92.99 | $92.99 |
| New Mexico | $92.99 | $92.99 |
| Oklahoma | $92.99 | $92.99 |
| Texas | $92.99 | $92.99 |
| California | $89.53 | $89.53 |
| Nevada | $89.53 | $89.53 |
| Oregon | $89.53 | $89.53 |
| Washington | $89.53 | $89.53 |
| Connecticut | $88.77 | $88.77 |
| Maine | $88.77 | $88.77 |
| Massachusetts | $88.77 | $88.77 |
| New Hampshire | $88.77 | $88.77 |
| Rhode Island | $88.77 | $88.77 |
| Vermont | $88.77 | $88.77 |
| Delaware | $88.34 | $88.34 |
| District of Columbia | $88.34 | $88.34 |
| Maryland | $88.34 | $88.34 |
| New Jersey | $88.34 | $88.34 |
| New York | $88.34 | $88.34 |
| Pennsylvania | $88.34 | $88.34 |

## Related codes

- E0951: Wheelchair accessory, loop heel/toe strap — https://www.med-reveal.com/rates/E0951-hcpcs-fee-schedule
- E0955: Wheelchair accessory, headrest, cushioned — https://www.med-reveal.com/rates/E0955-hcpcs-fee-schedule
- E0961: Wheelchair accessory, wheel lock brake extension — https://www.med-reveal.com/rates/E0961-hcpcs-fee-schedule
- E0967: Manual wheelchair accessory, hand rim with projections — https://www.med-reveal.com/rates/E0967-hcpcs-fee-schedule
- E0970: Wheelchair accessory, footrest, lower extension tube — https://www.med-reveal.com/rates/E0970-hcpcs-fee-schedule
- E0983: Manual wheelchair accessory, power add-on to convert to motorized — https://www.med-reveal.com/rates/E0983-hcpcs-fee-schedule
- E1130: Standard wheelchair, fixed full-length arms — https://www.med-reveal.com/rates/E1130-hcpcs-fee-schedule
- E1140: Wheelchair, detachable arms, swing away detachable footrests — https://www.med-reveal.com/rates/E1140-hcpcs-fee-schedule

Commercial negotiated rates for E0950 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules