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E1015 — Shock absorber for manual wheelchair, each

HCPCS Level II E-code · short descriptor: “Shock absorber for man w/c”

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.

E1015 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $136.28 to $179.38 depending on state and rural status.

StateNon-ruralRural
AK$163.05
AL$146.36$161.83
AR$146.36$161.83
AZ$144.30$161.83
CA$136.43$161.83
CO$148.67$161.83
CT$141.70$161.83
DC$136.28$161.83
DE$136.28$161.83
FL$146.36$161.83
GA$146.36$161.83
HI$163.05
IA$152.70$161.83
ID$148.67$161.83
IL$155.30$161.83
IN$155.30$161.83
KS$152.70$161.83
KY$146.36$161.83
LA$146.36$161.83
MA$141.70$161.83
MD$136.28$161.83
ME$141.70$161.83
MI$155.30$161.83
MN$152.70$161.83
MO$152.70$161.83
MS$146.36$161.83
MT$148.67$161.83
NC$146.36$161.83
ND$152.70$161.83
NE$152.70$161.83
NH$141.70$161.83
NJ$136.28$161.83
NM$144.30$161.83
NV$136.43$161.83
NY$136.28$161.83
OH$155.30$161.83
OK$144.30$161.83
OR$136.43$161.83
PA$136.28$161.83
PR$179.38
RI$141.70$161.83
SC$146.36$161.83
SD$152.70$161.83
TN$146.36$161.83
TX$144.30$161.83
UT$148.67$161.83
VA$146.36$161.83
VI$163.05
VT$141.70$161.83
WA$136.43$161.83
WI$155.30$161.83
WV$146.36$161.83
WY$148.67$161.83

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $163.49 to $196.14 depending on state and rural status.

Former-CBA payment limits: ceiling $163.49 · floor $138.97

StateNon-ruralRural
AK$163.49
AL$163.49
AR$163.49
AZ$163.49
CA$163.49
CO$163.49
CT$163.49
DC$163.49
DE$163.49
FL$163.49
GA$163.49
HI$163.49
IA$163.49
ID$163.49
IL$163.49
IN$163.49
KS$163.49
KY$163.49
LA$163.49
MA$163.49
MD$163.49
ME$163.49
MI$163.49
MN$163.49
MO$163.49
MS$163.49
MT$163.49
NC$163.49
ND$163.49
NE$163.49
NH$163.49
NJ$163.49
NM$163.49
NV$163.49
NY$163.49
OH$163.49
OK$163.49
OR$163.49
PA$163.49
PR$196.14
RI$163.49
SC$163.49
SD$163.49
TN$163.49
TX$163.49
UT$163.49
VA$163.49
VI$163.49
VT$163.49
WA$163.49
WI$163.49
WV$163.49
WY$163.49

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $13.63 to $17.95 depending on state and rural status.

StateNon-ruralRural
AK$16.30
AL$14.64$16.18
AR$14.64$16.18
AZ$14.43$16.18
CA$13.65$16.18
CO$14.87$16.18
CT$14.17$16.18
DC$13.63$16.18
DE$13.63$16.18
FL$14.64$16.18
GA$14.64$16.18
HI$16.30
IA$15.27$16.18
ID$14.87$16.18
IL$15.53$16.18
IN$15.53$16.18
KS$15.27$16.18
KY$14.64$16.18
LA$14.64$16.18
MA$14.17$16.18
MD$13.63$16.18
ME$14.17$16.18
MI$15.53$16.18
MN$15.27$16.18
MO$15.27$16.18
MS$14.64$16.18
MT$14.87$16.18
NC$14.64$16.18
ND$15.27$16.18
NE$15.27$16.18
NH$14.17$16.18
NJ$13.63$16.18
NM$14.43$16.18
NV$13.65$16.18
NY$13.63$16.18
OH$15.53$16.18
OK$14.43$16.18
OR$13.65$16.18
PA$13.63$16.18
PR$17.95
RI$14.17$16.18
SC$14.64$16.18
SD$15.27$16.18
TN$14.64$16.18
TX$14.43$16.18
UT$14.87$16.18
VA$14.64$16.18
VI$16.30
VT$14.17$16.18
WA$13.65$16.18
WI$15.53$16.18
WV$14.64$16.18
WY$14.87$16.18

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $16.35 to $19.66 depending on state and rural status.

Former-CBA payment limits: ceiling $16.35 · floor $13.90

StateNon-ruralRural
AK$16.35
AL$16.35
AR$16.35
AZ$16.35
CA$16.35
CO$16.35
CT$16.35
DC$16.35
DE$16.35
FL$16.35
GA$16.35
HI$16.35
IA$16.35
ID$16.35
IL$16.35
IN$16.35
KS$16.35
KY$16.35
LA$16.35
MA$16.35
MD$16.35
ME$16.35
MI$16.35
MN$16.35
MO$16.35
MS$16.35
MT$16.35
NC$16.35
ND$16.35
NE$16.35
NH$16.35
NJ$16.35
NM$16.35
NV$16.35
NY$16.35
OH$16.35
OK$16.35
OR$16.35
PA$16.35
PR$19.66
RI$16.35
SC$16.35
SD$16.35
TN$16.35
TX$16.35
UT$16.35
VA$16.35
VI$16.35
VT$16.35
WA$16.35
WI$16.35
WV$16.35
WY$16.35

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $102.21 to $134.54 depending on state and rural status.

StateNon-ruralRural
AK$122.28
AL$109.77$121.37
AR$109.77$121.37
AZ$108.23$121.37
CA$102.33$121.37
CO$111.50$121.37
CT$106.28$121.37
DC$102.21$121.37
DE$102.21$121.37
FL$109.77$121.37
GA$109.77$121.37
HI$122.28
IA$114.53$121.37
ID$111.50$121.37
IL$116.48$121.37
IN$116.48$121.37
KS$114.53$121.37
KY$109.77$121.37
LA$109.77$121.37
MA$106.28$121.37
MD$102.21$121.37
ME$106.28$121.37
MI$116.48$121.37
MN$114.53$121.37
MO$114.53$121.37
MS$109.77$121.37
MT$111.50$121.37
NC$109.77$121.37
ND$114.53$121.37
NE$114.53$121.37
NH$106.28$121.37
NJ$102.21$121.37
NM$108.23$121.37
NV$102.33$121.37
NY$102.21$121.37
OH$116.48$121.37
OK$108.23$121.37
OR$102.33$121.37
PA$102.21$121.37
PR$134.54
RI$106.28$121.37
SC$109.77$121.37
SD$114.53$121.37
TN$109.77$121.37
TX$108.23$121.37
UT$111.50$121.37
VA$109.77$121.37
VI$122.28
VT$106.28$121.37
WA$102.33$121.37
WI$116.48$121.37
WV$109.77$121.37
WY$111.50$121.37

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $122.60 to $147.10 depending on state and rural status.

Former-CBA payment limits: ceiling $122.60 · floor $104.21

StateNon-ruralRural
AK$122.60
AL$122.60
AR$122.60
AZ$122.60
CA$122.60
CO$122.60
CT$122.60
DC$122.60
DE$122.60
FL$122.60
GA$122.60
HI$122.60
IA$122.60
ID$122.60
IL$122.60
IN$122.60
KS$122.60
KY$122.60
LA$122.60
MA$122.60
MD$122.60
ME$122.60
MI$122.60
MN$122.60
MO$122.60
MS$122.60
MT$122.60
NC$122.60
ND$122.60
NE$122.60
NH$122.60
NJ$122.60
NM$122.60
NV$122.60
NY$122.60
OH$122.60
OK$122.60
OR$122.60
PA$122.60
PR$147.10
RI$122.60
SC$122.60
SD$122.60
TN$122.60
TX$122.60
UT$122.60
VA$122.60
VI$122.60
VT$122.60
WA$122.60
WI$122.60
WV$122.60
WY$122.60
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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