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E0974 — Manual wheelchair accessory, anti-rollback device, each

HCPCS Level II E-code · short descriptor: “W/ch access anti-rollback”

Code system
HCPCS Level II
Family
E — Durable medical equipment
Medicare coverage status
Special coverage instructions apply
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.

E0974 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $30.08 to $105.25 depending on state and rural status.

StateNon-ruralRural
AK$30.08
AL$89.60$94.99
AR$89.60$94.99
AZ$92.08$94.99
CA$89.01$105.25
CO$92.45$94.99
CT$87.05$105.25
DC$83.63$105.25
DE$83.63$105.25
FL$89.60$94.99
GA$89.60$105.25
HI$71.64
IA$92.89$100.67
ID$92.45$105.25
IL$92.65$94.99
IN$92.65$105.25
KS$92.89$105.25
KY$89.60$101.20
LA$89.60$94.99
MA$87.05$102.15
MD$83.63$101.24
ME$87.05$102.15
MI$92.65$105.25
MN$92.89$105.25
MO$92.89$105.25
MS$89.60$105.25
MT$92.45$94.99
NC$89.60$94.99
ND$92.89$94.99
NE$92.89$105.25
NH$87.05$102.15
NJ$83.63$105.25
NM$92.08$105.25
NV$89.01$94.99
NY$83.63$101.07
OH$92.65$105.25
OK$92.08$105.25
OR$89.01$105.25
PA$83.63$105.25
PR$73.47
RI$87.05$105.25
SC$89.60$94.99
SD$92.89$94.99
TN$89.60$105.25
TX$92.08$105.25
UT$92.45$105.25
VA$89.60$102.63
VI$101.07
VT$87.05$102.15
WA$89.01$105.25
WI$92.65$100.23
WV$89.60$105.25
WY$92.45$94.99

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $30.09 to $111.74 depending on state and rural status.

Former-CBA payment limits: ceiling $111.74 · floor $94.98

StateNon-ruralRural
AK$30.09
AL$94.98
AR$94.98
AZ$94.98
CA$111.74
CO$94.98
CT$111.74
DC$111.74
DE$111.74
FL$94.98
GA$111.74
HI$71.67
IA$102.58
ID$111.74
IL$94.98
IN$111.74
KS$111.74
KY$103.62
LA$94.98
MA$105.55
MD$103.71
ME$105.55
MI$111.74
MN$111.74
MO$111.74
MS$111.74
MT$94.98
NC$94.98
ND$94.98
NE$111.74
NH$105.55
NJ$111.74
NM$111.74
NV$94.98
NY$103.40
OH$111.74
OK$111.74
OR$111.74
PA$111.74
PR$73.46
RI$111.74
SC$94.98
SD$94.98
TN$111.74
TX$111.74
UT$111.74
VA$106.50
VI$103.40
VT$105.55
WA$111.74
WI$101.71
WV$111.74
WY$94.98

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $2.99 to $10.86 depending on state and rural status.

StateNon-ruralRural
AK$2.99
AL$8.96$9.98
AR$8.96$9.98
AZ$9.21$10.86
CA$8.90$10.86
CO$9.25$9.98
CT$8.71$10.86
DC$8.36$10.86
DE$8.36$10.86
FL$8.96$9.98
GA$8.96$10.86
HI$7.15
IA$9.29$10.05
ID$9.25$10.86
IL$9.27$10.86
IN$9.27$10.77
KS$9.29$10.86
KY$8.96$10.13
LA$8.96$9.98
MA$8.71$9.98
MD$8.36$10.86
ME$8.71$9.98
MI$9.27$10.56
MN$9.29$10.77
MO$9.29$10.86
MS$8.96$10.86
MT$9.25$9.98
NC$8.96$9.98
ND$9.29$9.98
NE$9.29$10.86
NH$8.71$9.98
NJ$8.36$10.86
NM$9.21$10.86
NV$8.90$10.86
NY$8.36$10.29
OH$9.27$10.86
OK$9.21$10.86
OR$8.90$10.86
PA$8.36$10.86
PR$9.19
RI$8.71$10.86
SC$8.96$9.98
SD$9.29$9.98
TN$8.96$10.52
TX$9.21$10.86
UT$9.25$10.86
VA$8.96$10.24
VI$10.29
VT$8.71$10.21
WA$8.90$10.86
WI$9.27$10.02
WV$8.96$10.86
WY$9.25$9.98

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $2.98 to $11.84 depending on state and rural status.

Former-CBA payment limits: ceiling $11.84 · floor $10.06

StateNon-ruralRural
AK$2.98
AL$10.06
AR$10.06
AZ$11.84
CA$11.84
CO$10.06
CT$11.84
DC$11.84
DE$11.84
FL$10.06
GA$11.84
HI$7.14
IA$10.26
ID$11.84
IL$11.84
IN$11.66
KS$11.84
KY$10.39
LA$10.06
MA$10.06
MD$11.84
ME$10.06
MI$11.24
MN$11.66
MO$11.84
MS$11.84
MT$10.06
NC$10.06
ND$10.06
NE$11.84
NH$10.06
NJ$11.84
NM$11.84
NV$11.84
NY$10.72
OH$11.84
OK$11.84
OR$11.84
PA$11.84
PR$9.20
RI$11.84
SC$10.06
SD$10.06
TN$11.17
TX$11.84
UT$11.84
VA$10.61
VI$10.72
VT$10.56
WA$11.84
WI$10.17
WV$11.84
WY$10.06

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $22.58 to $79.25 depending on state and rural status.

StateNon-ruralRural
AK$22.58
AL$67.20$71.77
AR$67.20$71.77
AZ$69.06$71.77
CA$66.76$79.25
CO$69.34$71.77
CT$65.29$79.25
DC$62.72$79.25
DE$62.72$79.25
FL$67.20$71.77
GA$67.20$79.25
HI$53.76
IA$69.67$75.51
ID$69.34$79.25
IL$69.49$79.25
IN$69.49$79.25
KS$69.67$79.25
KY$67.20$75.88
LA$67.20$71.77
MA$65.29$76.61
MD$62.72$75.92
ME$65.29$76.61
MI$69.49$79.25
MN$69.67$79.25
MO$69.67$79.25
MS$67.20$79.25
MT$69.34$71.77
NC$67.20$71.77
ND$69.67$71.77
NE$69.67$79.25
NH$65.29$76.61
NJ$62.72$79.25
NM$69.06$79.25
NV$66.76$71.77
NY$62.72$77.28
OH$69.49$79.25
OK$69.06$79.25
OR$66.76$79.25
PA$62.72$79.25
PR$55.06
RI$65.29$79.25
SC$67.20$71.77
SD$69.67$71.77
TN$67.20$78.95
TX$69.06$79.25
UT$69.34$79.25
VA$67.20$76.97
VI$77.28
VT$65.29$76.61
WA$66.76$79.25
WI$69.49$75.17
WV$67.20$79.25
WY$69.34$71.77

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $22.58 to $84.45 depending on state and rural status.

Former-CBA payment limits: ceiling $84.45 · floor $71.78

StateNon-ruralRural
AK$22.58
AL$71.78
AR$71.78
AZ$71.78
CA$84.45
CO$71.78
CT$84.45
DC$84.45
DE$84.45
FL$71.78
GA$84.45
HI$53.76
IA$76.97
ID$84.45
IL$84.45
IN$84.45
KS$84.45
KY$77.70
LA$71.78
MA$79.16
MD$77.79
ME$79.16
MI$84.45
MN$84.45
MO$84.45
MS$84.45
MT$71.78
NC$71.78
ND$71.78
NE$84.45
NH$79.16
NJ$84.45
NM$84.45
NV$71.78
NY$80.48
OH$84.45
OK$84.45
OR$84.45
PA$84.45
PR$55.06
RI$84.45
SC$71.78
SD$71.78
TN$83.82
TX$84.45
UT$84.45
VA$79.89
VI$80.48
VT$79.16
WA$84.45
WI$76.27
WV$84.45
WY$71.78
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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