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E0954 — Wheelchair accessory, foot box, any type, includes attachment and mounting hardware, each foot

HCPCS Level II E-code · short descriptor: “Foot box, any type each foot”

Code system
HCPCS Level II
Family
E — Durable medical equipment
Medicare coverage status
Carrier judgment — coverage decided by the DME MAC
DMEPOS payment category
Inexpensive or routinely purchased
Prior authorization
Not on Medicare required-PA list
Status
Active (April 2026 HCPCS)

Prior authorization

Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

E0954 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $65.11 to $107.05 depending on state and rural status.

StateNon-ruralRural
AK$107.05
AL$65.52$68.06
AR$66.59$70.33
AZ$65.15$70.71
CA$65.35$69.46
CO$65.99$68.28
CT$65.27$72.08
DC$65.11$72.07
DE$65.11$72.08
FL$66.59$72.08
GA$65.52$69.81
HI$98.86
IA$66.76$71.73
ID$66.87$71.73
IL$66.97$70.90
IN$66.97$71.13
KS$66.76$71.57
KY$65.52$68.39
LA$66.59$70.33
MA$65.27$69.72
MD$65.11$72.08
ME$65.27$69.72
MI$65.90$68.42
MN$65.88$68.39
MO$66.95$72.08
MS$66.59$70.33
MT$65.80$67.71
NC$66.59$71.31
ND$66.76$71.73
NE$66.76$71.00
NH$65.27$69.70
NJ$65.11$72.08
NM$65.34$72.08
NV$66.42$71.31
NY$65.11$72.08
OH$65.90$68.06
OK$65.34$72.08
OR$66.42$71.73
PA$65.11$72.08
PR$77.58
RI$65.27$72.08
SC$66.59$72.08
SD$66.76$71.73
TN$65.52$68.70
TX$65.30$69.09
UT$65.99$68.06
VA$66.59$72.08
VI$72.08
VT$65.27$69.71
WA$66.61$72.08
WI$66.50$69.78
WV$65.52$68.06
WY$66.87$71.73

NU + KE — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $72.92 to $117.76 depending on state and rural status.

StateNon-ruralRural
AK$117.76
AL$73.21
AR$75.61
AZ$76.15
CA$74.92
CO$73.46
CT$77.61
DC$77.59
DE$77.61
FL$77.61
GA$75.21
HI$108.38
IA$77.32
ID$77.32
IL$76.25
IN$76.53
KS$77.13
KY$73.58
LA$75.61
MA$74.91
MD$77.61
ME$74.91
MI$73.61
MN$73.58
MO$77.61
MS$75.61
MT$72.92
NC$76.73
ND$77.32
NE$76.49
NH$74.89
NJ$77.61
NM$77.61
NV$76.84
NY$77.61
OH$73.21
OK$77.61
OR$77.32
PA$77.61
PR$83.91
RI$77.61
SC$77.61
SD$77.32
TN$73.94
TX$74.21
UT$73.21
VA$77.61
VI$77.61
VT$74.90
WA$77.61
WI$75.14
WV$73.21
WY$77.32

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $68.79 to $146.39 depending on state and rural status.

StateNon-ruralRural
AK$146.39
AL$69.32
AR$72.79
AZ$73.69
CA$72.29
CO$69.75
CT$76.29
DC$76.27
DE$76.29
FL$76.29
GA$72.82
HI$129.98
IA$75.76
ID$75.76
IL$73.93
IN$74.40
KS$75.43
KY$69.97
LA$72.79
MA$71.54
MD$76.29
ME$71.54
MI$70.02
MN$69.97
MO$76.29
MS$72.79
MT$68.79
NC$74.77
ND$75.76
NE$74.31
NH$71.50
NJ$76.29
NM$76.29
NV$74.93
NY$76.29
OH$69.32
OK$76.29
OR$75.76
PA$76.29
PR$87.28
RI$76.29
SC$76.29
SD$75.76
TN$70.56
TX$70.36
UT$69.32
VA$76.29
VI$76.29
VT$71.52
WA$76.29
WI$72.16
WV$69.32
WY$75.76

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $6.49 to $10.69 depending on state and rural status.

StateNon-ruralRural
AK$10.69
AL$6.63$6.90
AR$6.66$7.10
AZ$6.49$7.23
CA$6.59$7.03
CO$6.67$6.90
CT$6.52$7.28
DC$6.51$7.21
DE$6.51$7.21
FL$6.66$7.28
GA$6.63$7.08
HI$9.90
IA$6.65$7.23
ID$6.66$7.23
IL$6.70$7.08
IN$6.70$7.14
KS$6.65$7.17
KY$6.63$6.91
LA$6.66$7.10
MA$6.52$7.28
MD$6.51$7.28
ME$6.52$7.28
MI$6.67$6.91
MN$6.66$6.91
MO$6.69$7.28
MS$6.66$7.10
MT$6.63$6.85
NC$6.66$7.19
ND$6.65$7.23
NE$6.65$7.10
NH$6.52$7.28
NJ$6.51$7.21
NM$6.53$7.28
NV$6.62$7.23
NY$6.51$7.28
OH$6.67$6.90
OK$6.53$7.28
OR$6.62$7.23
PA$6.51$7.21
PR$8.39
RI$6.52$7.28
SC$6.66$7.28
SD$6.65$7.23
TN$6.63$6.94
TX$6.53$6.94
UT$6.67$6.90
VA$6.66$7.26
VI$7.28
VT$6.52$6.97
WA$6.66$7.28
WI$6.67$7.08
WV$6.63$6.90
WY$6.66$7.23

RR + KE — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $7.39 to $11.78 depending on state and rural status.

StateNon-ruralRural
AK$11.78
AL$7.43
AR$7.64
AZ$7.81
CA$7.60
CO$7.43
CT$7.85
DC$7.77
DE$7.77
FL$7.85
GA$7.64
HI$10.87
IA$7.81
ID$7.81
IL$7.62
IN$7.69
KS$7.75
KY$7.44
LA$7.64
MA$7.85
MD$7.85
ME$7.85
MI$7.44
MN$7.44
MO$7.85
MS$7.64
MT$7.39
NC$7.74
ND$7.81
NE$7.67
NH$7.85
NJ$7.77
NM$7.85
NV$7.81
NY$7.85
OH$7.43
OK$7.85
OR$7.81
PA$7.77
PR$9.12
RI$7.85
SC$7.85
SD$7.81
TN$7.47
TX$7.46
UT$7.43
VA$7.83
VI$7.85
VT$7.49
WA$7.85
WI$7.64
WV$7.43
WY$7.81

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $6.98 to $14.63 depending on state and rural status.

StateNon-ruralRural
AK$14.63
AL$7.03
AR$7.39
AZ$7.70
CA$7.34
CO$7.03
CT$7.75
DC$7.62
DE$7.62
FL$7.75
GA$7.39
HI$13.06
IA$7.70
ID$7.70
IL$7.35
IN$7.48
KS$7.58
KY$7.05
LA$7.39
MA$7.75
MD$7.75
ME$7.75
MI$7.05
MN$7.05
MO$7.75
MS$7.39
MT$6.98
NC$7.55
ND$7.70
NE$7.45
NH$7.75
NJ$7.62
NM$7.75
NV$7.70
NY$7.75
OH$7.03
OK$7.75
OR$7.70
PA$7.62
PR$10.01
RI$7.75
SC$7.75
SD$7.70
TN$7.11
TX$7.09
UT$7.03
VA$7.72
VI$7.75
VT$7.16
WA$7.75
WI$7.39
WV$7.03
WY$7.70

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $48.84 to $80.27 depending on state and rural status.

StateNon-ruralRural
AK$80.27
AL$49.14$51.03
AR$49.95$52.74
AZ$48.85$53.01
CA$49.00$52.07
CO$49.50$51.21
CT$48.96$54.05
DC$48.84$54.03
DE$48.84$54.05
FL$49.95$54.05
GA$49.14$52.34
HI$74.15
IA$50.06$53.78
ID$50.15$53.78
IL$50.24$53.18
IN$50.24$53.34
KS$50.06$53.66
KY$49.14$51.28
LA$49.95$52.74
MA$48.95$52.26
MD$48.84$54.05
ME$48.95$52.27
MI$49.97$51.86
MN$49.87$51.74
MO$50.22$54.05
MS$49.95$52.74
MT$49.34$50.76
NC$49.95$53.49
ND$50.06$53.78
NE$50.06$53.26
NH$48.95$52.25
NJ$48.84$54.05
NM$49.01$54.05
NV$49.81$53.47
NY$48.84$54.05
OH$49.43$51.03
OK$49.01$54.05
OR$49.81$53.78
PA$48.84$54.05
PR$58.19
RI$48.96$54.05
SC$49.95$54.05
SD$50.06$53.78
TN$49.14$51.51
TX$48.97$51.80
UT$49.50$51.03
VA$49.95$54.05
VI$54.05
VT$48.95$52.26
WA$49.97$54.05
WI$49.89$52.35
WV$49.14$51.03
WY$50.15$53.78

UE + KE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $54.68 to $88.30 depending on state and rural status.

StateNon-ruralRural
AK$88.30
AL$54.90
AR$56.70
AZ$57.10
CA$56.18
CO$55.10
CT$58.20
DC$58.18
DE$58.20
FL$58.20
GA$56.40
HI$81.30
IA$57.98
ID$57.98
IL$57.19
IN$57.39
KS$57.84
KY$55.18
LA$56.70
MA$56.15
MD$58.20
ME$56.16
MI$55.81
MN$55.68
MO$58.20
MS$56.70
MT$54.68
NC$57.56
ND$57.98
NE$57.38
NH$56.14
NJ$58.20
NM$58.20
NV$57.62
NY$58.20
OH$54.90
OK$58.20
OR$57.98
PA$58.20
PR$62.92
RI$58.20
SC$58.20
SD$57.98
TN$55.45
TX$55.65
UT$54.90
VA$58.20
VI$58.20
VT$56.15
WA$58.20
WI$56.38
WV$54.90
WY$57.98

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $51.57 to $109.74 depending on state and rural status.

StateNon-ruralRural
AK$109.74
AL$51.96
AR$54.57
AZ$55.27
CA$54.19
CO$52.31
CT$57.19
DC$57.15
DE$57.19
FL$57.19
GA$54.58
HI$97.50
IA$56.80
ID$56.80
IL$55.43
IN$55.79
KS$56.56
KY$52.45
LA$54.57
MA$53.62
MD$57.19
ME$53.63
MI$53.03
MN$52.90
MO$57.19
MS$54.57
MT$51.57
NC$56.08
ND$56.80
NE$55.74
NH$53.58
NJ$57.19
NM$57.19
NV$56.17
NY$57.19
OH$51.96
OK$57.19
OR$56.80
PA$57.19
PR$65.48
RI$57.19
SC$57.19
SD$56.80
TN$52.93
TX$52.72
UT$51.96
VA$57.19
VI$57.19
VT$53.62
WA$57.19
WI$54.13
WV$51.96
WY$56.80
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026. Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%. A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area adjustments and non-continental rates can differ — verify with your DME MAC.

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