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E1016 — Shock absorber for power wheelchair, each

HCPCS Level II E-code · short descriptor: “Shock absorber for power 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.

E1016 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $129.22 to $176.80 depending on state and rural status.

StateNon-ruralRural
AK$160.69
AL$133.52$155.83
AR$133.52$155.83
AZ$136.71$155.83
CA$131.95$155.83
CO$138.02$155.83
CT$140.16$155.83
DC$129.22$155.83
DE$129.22$155.83
FL$133.52$155.83
GA$133.52$155.83
HI$160.69
IA$139.06$155.83
ID$138.02$155.83
IL$148.29$155.83
IN$148.29$155.83
KS$139.06$155.83
KY$133.52$155.83
LA$133.52$155.83
MA$140.16$155.83
MD$129.22$155.83
ME$140.16$155.83
MI$148.29$155.83
MN$139.06$155.83
MO$139.06$155.83
MS$133.52$155.83
MT$138.02$155.83
NC$133.52$155.83
ND$139.06$155.83
NE$139.06$155.83
NH$140.16$155.83
NJ$129.22$155.83
NM$136.71$155.83
NV$131.95$155.83
NY$129.22$155.83
OH$148.29$155.83
OK$136.71$155.83
OR$131.95$155.83
PA$129.22$155.83
PR$176.80
RI$140.16$155.83
SC$133.52$155.83
SD$139.06$155.83
TN$133.52$155.83
TX$136.71$155.83
UT$138.02$155.83
VA$133.52$155.83
VI$160.69
VT$140.16$155.83
WA$131.95$155.83
WI$148.29$155.83
WV$133.52$155.83
WY$138.02$155.83

NU + KE — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $167.53 to $190.83 depending on state and rural status.

StateNon-ruralRural
AK$172.38
AL$167.53
AR$167.53
AZ$167.53
CA$167.53
CO$167.53
CT$167.53
DC$167.53
DE$167.53
FL$167.53
GA$167.53
HI$172.38
IA$167.53
ID$167.53
IL$167.53
IN$167.53
KS$167.53
KY$167.53
LA$167.53
MA$167.53
MD$167.53
ME$167.53
MI$167.53
MN$167.53
MO$167.53
MS$167.53
MT$167.53
NC$167.53
ND$167.53
NE$167.53
NH$167.53
NJ$167.53
NM$167.53
NV$167.53
NY$167.53
OH$167.53
OK$167.53
OR$167.53
PA$167.53
PR$190.83
RI$167.53
SC$167.53
SD$167.53
TN$167.53
TX$167.53
UT$167.53
VA$167.53
VI$172.38
VT$167.53
WA$167.53
WI$167.53
WV$167.53
WY$167.53

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $161.31 to $193.56 depending on state and rural status.

Former-CBA payment limits: ceiling $161.31 · floor $137.11

StateNon-ruralRural
AK$161.31
AL$161.31
AR$161.31
AZ$161.31
CA$161.31
CO$161.31
CT$161.31
DC$161.31
DE$161.31
FL$161.31
GA$161.31
HI$161.31
IA$161.31
ID$161.31
IL$161.31
IN$161.31
KS$161.31
KY$161.31
LA$161.31
MA$161.31
MD$161.31
ME$161.31
MI$161.31
MN$161.31
MO$161.31
MS$161.31
MT$161.31
NC$161.31
ND$161.31
NE$161.31
NH$161.31
NJ$161.31
NM$161.31
NV$161.31
NY$161.31
OH$161.31
OK$161.31
OR$161.31
PA$161.31
PR$193.56
RI$161.31
SC$161.31
SD$161.31
TN$161.31
TX$161.31
UT$161.31
VA$161.31
VI$161.31
VT$161.31
WA$161.31
WI$161.31
WV$161.31
WY$161.31

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $12.92 to $17.69 depending on state and rural status.

StateNon-ruralRural
AK$16.08
AL$13.35$15.59
AR$13.35$15.59
AZ$13.67$15.59
CA$13.19$15.59
CO$13.80$15.59
CT$14.01$15.59
DC$12.92$15.59
DE$12.92$15.59
FL$13.35$15.59
GA$13.35$15.59
HI$16.08
IA$13.91$15.59
ID$13.80$15.59
IL$14.83$15.59
IN$14.83$15.59
KS$13.91$15.59
KY$13.35$15.59
LA$13.35$15.59
MA$14.01$15.59
MD$12.92$15.59
ME$14.01$15.59
MI$14.83$15.59
MN$13.91$15.59
MO$13.91$15.59
MS$13.35$15.59
MT$13.80$15.59
NC$13.35$15.59
ND$13.91$15.59
NE$13.91$15.59
NH$14.01$15.59
NJ$12.92$15.59
NM$13.67$15.59
NV$13.19$15.59
NY$12.92$15.59
OH$14.83$15.59
OK$13.67$15.59
OR$13.19$15.59
PA$12.92$15.59
PR$17.69
RI$14.01$15.59
SC$13.35$15.59
SD$13.91$15.59
TN$13.35$15.59
TX$13.67$15.59
UT$13.80$15.59
VA$13.35$15.59
VI$16.08
VT$14.01$15.59
WA$13.19$15.59
WI$14.83$15.59
WV$13.35$15.59
WY$13.80$15.59

RR + KE — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $16.77 to $19.10 depending on state and rural status.

StateNon-ruralRural
AK$17.25
AL$16.77
AR$16.77
AZ$16.77
CA$16.77
CO$16.77
CT$16.77
DC$16.77
DE$16.77
FL$16.77
GA$16.77
HI$17.25
IA$16.77
ID$16.77
IL$16.77
IN$16.77
KS$16.77
KY$16.77
LA$16.77
MA$16.77
MD$16.77
ME$16.77
MI$16.77
MN$16.77
MO$16.77
MS$16.77
MT$16.77
NC$16.77
ND$16.77
NE$16.77
NH$16.77
NJ$16.77
NM$16.77
NV$16.77
NY$16.77
OH$16.77
OK$16.77
OR$16.77
PA$16.77
PR$19.10
RI$16.77
SC$16.77
SD$16.77
TN$16.77
TX$16.77
UT$16.77
VA$16.77
VI$17.25
VT$16.77
WA$16.77
WI$16.77
WV$16.77
WY$16.77

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $16.16 to $19.39 depending on state and rural status.

Former-CBA payment limits: ceiling $16.16 · floor $13.74

StateNon-ruralRural
AK$16.16
AL$16.16
AR$16.16
AZ$16.16
CA$16.16
CO$16.16
CT$16.16
DC$16.16
DE$16.16
FL$16.16
GA$16.16
HI$16.16
IA$16.16
ID$16.16
IL$16.16
IN$16.16
KS$16.16
KY$16.16
LA$16.16
MA$16.16
MD$16.16
ME$16.16
MI$16.16
MN$16.16
MO$16.16
MS$16.16
MT$16.16
NC$16.16
ND$16.16
NE$16.16
NH$16.16
NJ$16.16
NM$16.16
NV$16.16
NY$16.16
OH$16.16
OK$16.16
OR$16.16
PA$16.16
PR$19.39
RI$16.16
SC$16.16
SD$16.16
TN$16.16
TX$16.16
UT$16.16
VA$16.16
VI$16.16
VT$16.16
WA$16.16
WI$16.16
WV$16.16
WY$16.16

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $96.91 to $132.61 depending on state and rural status.

StateNon-ruralRural
AK$120.51
AL$100.14$116.87
AR$100.14$116.87
AZ$102.53$116.87
CA$98.97$116.87
CO$103.51$116.87
CT$105.12$116.87
DC$96.91$116.87
DE$96.91$116.87
FL$100.14$116.87
GA$100.14$116.87
HI$120.51
IA$104.30$116.87
ID$103.51$116.87
IL$111.22$116.87
IN$111.22$116.87
KS$104.30$116.87
KY$100.14$116.87
LA$100.14$116.87
MA$105.12$116.87
MD$96.91$116.87
ME$105.12$116.87
MI$111.22$116.87
MN$104.30$116.87
MO$104.30$116.87
MS$100.14$116.87
MT$103.51$116.87
NC$100.14$116.87
ND$104.30$116.87
NE$104.30$116.87
NH$105.12$116.87
NJ$96.91$116.87
NM$102.53$116.87
NV$98.97$116.87
NY$96.91$116.87
OH$111.22$116.87
OK$102.53$116.87
OR$98.97$116.87
PA$96.91$116.87
PR$132.61
RI$105.12$116.87
SC$100.14$116.87
SD$104.30$116.87
TN$100.14$116.87
TX$102.53$116.87
UT$103.51$116.87
VA$100.14$116.87
VI$120.51
VT$105.12$116.87
WA$98.97$116.87
WI$111.22$116.87
WV$100.14$116.87
WY$103.51$116.87

UE + KE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $125.64 to $143.13 depending on state and rural status.

StateNon-ruralRural
AK$129.28
AL$125.64
AR$125.64
AZ$125.64
CA$125.64
CO$125.64
CT$125.64
DC$125.64
DE$125.64
FL$125.64
GA$125.64
HI$129.28
IA$125.64
ID$125.64
IL$125.64
IN$125.64
KS$125.64
KY$125.64
LA$125.64
MA$125.64
MD$125.64
ME$125.64
MI$125.64
MN$125.64
MO$125.64
MS$125.64
MT$125.64
NC$125.64
ND$125.64
NE$125.64
NH$125.64
NJ$125.64
NM$125.64
NV$125.64
NY$125.64
OH$125.64
OK$125.64
OR$125.64
PA$125.64
PR$143.13
RI$125.64
SC$125.64
SD$125.64
TN$125.64
TX$125.64
UT$125.64
VA$125.64
VI$129.28
VT$125.64
WA$125.64
WI$125.64
WV$125.64
WY$125.64

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $120.96 to $145.19 depending on state and rural status.

Former-CBA payment limits: ceiling $120.96 · floor $102.82

StateNon-ruralRural
AK$120.96
AL$120.96
AR$120.96
AZ$120.96
CA$120.96
CO$120.96
CT$120.96
DC$120.96
DE$120.96
FL$120.96
GA$120.96
HI$120.96
IA$120.96
ID$120.96
IL$120.96
IN$120.96
KS$120.96
KY$120.96
LA$120.96
MA$120.96
MD$120.96
ME$120.96
MI$120.96
MN$120.96
MO$120.96
MS$120.96
MT$120.96
NC$120.96
ND$120.96
NE$120.96
NH$120.96
NJ$120.96
NM$120.96
NV$120.96
NY$120.96
OH$120.96
OK$120.96
OR$120.96
PA$120.96
PR$145.19
RI$120.96
SC$120.96
SD$120.96
TN$120.96
TX$120.96
UT$120.96
VA$120.96
VI$120.96
VT$120.96
WA$120.96
WI$120.96
WV$120.96
WY$120.96
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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