# HCPCS E0967: Manual wheelchair accessory, hand rim with projections

Medicare HCPCS E0967 pays $89.37 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural, NU · purchase, new). State amounts run from $83.53 in Washington to $105.02 in Puerto Rico, a 26% spread.

Web page: https://www.med-reveal.com/rates/E0967-hcpcs-fee-schedule
Section: DME, Prosthetics, Orthotics and Supplies

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $89.37 |
| National facility | $89.37 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Puerto Rico | $105.02 | $105.02 |
| Virgin Islands | $93.56 | $93.56 |
| Alaska | $92.06 | $92.06 |
| Hawaii | $92.06 | $92.06 |
| Connecticut | $91.02 | $91.02 |
| Maine | $91.02 | $91.02 |
| Massachusetts | $91.02 | $91.02 |
| New Hampshire | $91.02 | $91.02 |
| Rhode Island | $91.02 | $91.02 |
| Vermont | $91.02 | $91.02 |
| Colorado | $90.92 | $90.92 |
| Idaho | $90.92 | $90.92 |
| Montana | $90.92 | $90.92 |
| Utah | $90.92 | $90.92 |
| Wyoming | $90.92 | $90.92 |
| Iowa | $90.41 | $90.41 |
| Kansas | $90.41 | $90.41 |
| Minnesota | $90.41 | $90.41 |
| Missouri | $90.41 | $90.41 |
| Nebraska | $90.41 | $90.41 |
| North Dakota | $90.41 | $90.41 |
| South Dakota | $90.41 | $90.41 |
| Illinois | $90.27 | $90.27 |
| Indiana | $90.27 | $90.27 |
| Michigan | $90.27 | $90.27 |
| Ohio | $90.27 | $90.27 |
| Wisconsin | $90.27 | $90.27 |
| Alabama | $88.62 | $88.62 |
| Arkansas | $88.62 | $88.62 |
| Florida | $88.62 | $88.62 |
| Georgia | $88.62 | $88.62 |
| Kentucky | $88.62 | $88.62 |
| Louisiana | $88.62 | $88.62 |
| Mississippi | $88.62 | $88.62 |
| North Carolina | $88.62 | $88.62 |
| South Carolina | $88.62 | $88.62 |
| Tennessee | $88.62 | $88.62 |
| Virginia | $88.62 | $88.62 |
| West Virginia | $88.62 | $88.62 |
| Arizona | $87.64 | $87.64 |
| New Mexico | $87.64 | $87.64 |
| Oklahoma | $87.64 | $87.64 |
| Texas | $87.64 | $87.64 |
| Delaware | $86.82 | $86.82 |
| District of Columbia | $86.82 | $86.82 |
| Maryland | $86.82 | $86.82 |
| New Jersey | $86.82 | $86.82 |
| New York | $86.82 | $86.82 |
| Pennsylvania | $86.82 | $86.82 |
| California | $83.53 | $83.53 |
| Nevada | $83.53 | $83.53 |
| Oregon | $83.53 | $83.53 |
| Washington | $83.53 | $83.53 |

## 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
- 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
- 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 E0967 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