# HCPCS E0955: Wheelchair accessory, headrest, cushioned

Medicare HCPCS E0955 pays $18.12 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural, RR · monthly rental). State amounts run from $17.12 in Washington to $24.66 in Puerto Rico, a 44% spread.

Web page: https://www.med-reveal.com/rates/E0955-hcpcs-fee-schedule
Section: DME, Prosthetics, Orthotics and Supplies

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $18.12 |
| National facility | $18.12 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Puerto Rico | $24.66 | $24.66 |
| Alaska | $22.18 | $22.18 |
| Hawaii | $22.18 | $22.18 |
| Virgin Islands | $22.18 | $22.18 |
| Illinois | $18.20 | $18.20 |
| Indiana | $18.20 | $18.20 |
| Michigan | $18.20 | $18.20 |
| Ohio | $18.20 | $18.20 |
| Wisconsin | $18.20 | $18.20 |
| Connecticut | $18.07 | $18.07 |
| Maine | $18.07 | $18.07 |
| Massachusetts | $18.07 | $18.07 |
| New Hampshire | $18.07 | $18.07 |
| Rhode Island | $18.07 | $18.07 |
| Vermont | $18.07 | $18.07 |
| Iowa | $17.92 | $17.92 |
| Kansas | $17.92 | $17.92 |
| Minnesota | $17.92 | $17.92 |
| Missouri | $17.92 | $17.92 |
| Nebraska | $17.92 | $17.92 |
| North Dakota | $17.92 | $17.92 |
| South Dakota | $17.92 | $17.92 |
| Colorado | $17.80 | $17.80 |
| Idaho | $17.80 | $17.80 |
| Montana | $17.80 | $17.80 |
| Utah | $17.80 | $17.80 |
| Wyoming | $17.80 | $17.80 |
| Alabama | $17.71 | $17.71 |
| Arkansas | $17.71 | $17.71 |
| Florida | $17.71 | $17.71 |
| Georgia | $17.71 | $17.71 |
| Kentucky | $17.71 | $17.71 |
| Louisiana | $17.71 | $17.71 |
| Mississippi | $17.71 | $17.71 |
| North Carolina | $17.71 | $17.71 |
| South Carolina | $17.71 | $17.71 |
| Tennessee | $17.71 | $17.71 |
| Virginia | $17.71 | $17.71 |
| West Virginia | $17.71 | $17.71 |
| Arizona | $17.51 | $17.51 |
| New Mexico | $17.51 | $17.51 |
| Oklahoma | $17.51 | $17.51 |
| Texas | $17.51 | $17.51 |
| Delaware | $17.35 | $17.35 |
| District of Columbia | $17.35 | $17.35 |
| Maryland | $17.35 | $17.35 |
| New Jersey | $17.35 | $17.35 |
| New York | $17.35 | $17.35 |
| Pennsylvania | $17.35 | $17.35 |
| California | $17.12 | $17.12 |
| Nevada | $17.12 | $17.12 |
| Oregon | $17.12 | $17.12 |
| Washington | $17.12 | $17.12 |

## Related codes

- E0950: Wheelchair accessory, tray — https://www.med-reveal.com/rates/E0950-hcpcs-fee-schedule
- E0951: Wheelchair accessory, loop heel/toe strap — https://www.med-reveal.com/rates/E0951-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 E0955 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