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E2601 — General use wheelchair seat cushion, width less than 22 inches, any depth

HCPCS Level II E-code · short descriptor: “Gen w/c cushion wdth < 22 in”

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.

E2601 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $44.60 to $71.13 depending on state and rural status.

StateNon-ruralRural
AK$63.63
AL$49.24$63.63
AR$49.24$63.63
AZ$45.42$63.63
CA$45.35$63.63
CO$45.43$63.63
CT$49.89$63.63
DC$44.60$63.63
DE$44.60$63.63
FL$49.24$63.63
GA$49.24$63.63
HI$63.63
IA$47.91$63.63
ID$45.43$63.63
IL$47.83$63.63
IN$47.83$63.63
KS$47.91$63.63
KY$49.24$63.63
LA$49.24$63.63
MA$49.89$63.63
MD$44.60$63.63
ME$49.89$63.63
MI$47.83$63.63
MN$47.91$63.63
MO$47.91$63.63
MS$49.24$63.63
MT$45.43$63.63
NC$49.24$63.63
ND$47.91$63.63
NE$47.91$63.63
NH$49.89$63.63
NJ$44.60$63.63
NM$45.42$63.63
NV$45.35$63.63
NY$44.60$63.63
OH$47.83$63.63
OK$45.42$63.63
OR$45.35$63.63
PA$44.60$63.63
PR$71.13
RI$49.89$63.63
SC$49.24$63.63
SD$47.91$63.63
TN$49.24$63.63
TX$45.42$63.63
UT$45.43$63.63
VA$49.24$63.63
VI$63.63
VT$49.89$63.63
WA$45.35$63.63
WI$47.83$63.63
WV$49.24$63.63
WY$45.43$63.63

NU + KE — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $69.07 to $77.66 depending on state and rural status.

StateNon-ruralRural
AK$69.07
AL$69.07
AR$69.07
AZ$69.07
CA$69.07
CO$69.07
CT$69.07
DC$69.07
DE$69.07
FL$69.07
GA$69.07
HI$69.07
IA$69.07
ID$69.07
IL$69.07
IN$69.07
KS$69.07
KY$69.07
LA$69.07
MA$69.07
MD$69.07
ME$69.07
MI$69.07
MN$69.07
MO$69.07
MS$69.07
MT$69.07
NC$69.07
ND$69.07
NE$69.07
NH$69.07
NJ$69.07
NM$69.07
NV$69.07
NY$69.07
OH$69.07
OK$69.07
OR$69.07
PA$69.07
PR$77.66
RI$69.07
SC$69.07
SD$69.07
TN$69.07
TX$69.07
UT$69.07
VA$69.07
VI$69.07
VT$69.07
WA$69.07
WI$69.07
WV$69.07
WY$69.07

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $75.12 to $90.13 depending on state and rural status.

Former-CBA payment limits: ceiling $75.12 · floor $63.85

StateNon-ruralRural
AK$75.12
AL$75.12
AR$75.12
AZ$75.12
CA$75.12
CO$75.12
CT$75.12
DC$75.12
DE$75.12
FL$75.12
GA$75.12
HI$75.12
IA$75.12
ID$75.12
IL$75.12
IN$75.12
KS$75.12
KY$75.12
LA$75.12
MA$75.12
MD$75.12
ME$75.12
MI$75.12
MN$75.12
MO$75.12
MS$75.12
MT$75.12
NC$75.12
ND$75.12
NE$75.12
NH$75.12
NJ$75.12
NM$75.12
NV$75.12
NY$75.12
OH$75.12
OK$75.12
OR$75.12
PA$75.12
PR$90.13
RI$75.12
SC$75.12
SD$75.12
TN$75.12
TX$75.12
UT$75.12
VA$75.12
VI$75.12
VT$75.12
WA$75.12
WI$75.12
WV$75.12
WY$75.12

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $4.46 to $7.11 depending on state and rural status.

StateNon-ruralRural
AK$6.38
AL$4.93$6.38
AR$4.93$6.38
AZ$4.54$6.38
CA$4.53$6.38
CO$4.55$6.38
CT$4.99$6.38
DC$4.46$6.38
DE$4.46$6.38
FL$4.93$6.38
GA$4.93$6.38
HI$6.38
IA$4.79$6.38
ID$4.55$6.38
IL$4.78$6.38
IN$4.78$6.38
KS$4.79$6.38
KY$4.93$6.38
LA$4.93$6.38
MA$4.99$6.38
MD$4.46$6.38
ME$4.99$6.38
MI$4.78$6.38
MN$4.79$6.38
MO$4.79$6.38
MS$4.93$6.38
MT$4.55$6.38
NC$4.93$6.38
ND$4.79$6.38
NE$4.79$6.38
NH$4.99$6.38
NJ$4.46$6.38
NM$4.54$6.38
NV$4.53$6.38
NY$4.46$6.38
OH$4.78$6.38
OK$4.54$6.38
OR$4.53$6.38
PA$4.46$6.38
PR$7.11
RI$4.99$6.38
SC$4.93$6.38
SD$4.79$6.38
TN$4.93$6.38
TX$4.54$6.38
UT$4.55$6.38
VA$4.93$6.38
VI$6.38
VT$4.99$6.38
WA$4.53$6.38
WI$4.78$6.38
WV$4.93$6.38
WY$4.55$6.38

RR + KE — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $6.92 to $7.77 depending on state and rural status.

StateNon-ruralRural
AK$6.92
AL$6.92
AR$6.92
AZ$6.92
CA$6.92
CO$6.92
CT$6.92
DC$6.92
DE$6.92
FL$6.92
GA$6.92
HI$6.92
IA$6.92
ID$6.92
IL$6.92
IN$6.92
KS$6.92
KY$6.92
LA$6.92
MA$6.92
MD$6.92
ME$6.92
MI$6.92
MN$6.92
MO$6.92
MS$6.92
MT$6.92
NC$6.92
ND$6.92
NE$6.92
NH$6.92
NJ$6.92
NM$6.92
NV$6.92
NY$6.92
OH$6.92
OK$6.92
OR$6.92
PA$6.92
PR$7.77
RI$6.92
SC$6.92
SD$6.92
TN$6.92
TX$6.92
UT$6.92
VA$6.92
VI$6.92
VT$6.92
WA$6.92
WI$6.92
WV$6.92
WY$6.92

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $7.52 to $9.02 depending on state and rural status.

Former-CBA payment limits: ceiling $7.52 · floor $6.39

StateNon-ruralRural
AK$7.52
AL$7.52
AR$7.52
AZ$7.52
CA$7.52
CO$7.52
CT$7.52
DC$7.52
DE$7.52
FL$7.52
GA$7.52
HI$7.52
IA$7.52
ID$7.52
IL$7.52
IN$7.52
KS$7.52
KY$7.52
LA$7.52
MA$7.52
MD$7.52
ME$7.52
MI$7.52
MN$7.52
MO$7.52
MS$7.52
MT$7.52
NC$7.52
ND$7.52
NE$7.52
NH$7.52
NJ$7.52
NM$7.52
NV$7.52
NY$7.52
OH$7.52
OK$7.52
OR$7.52
PA$7.52
PR$9.02
RI$7.52
SC$7.52
SD$7.52
TN$7.52
TX$7.52
UT$7.52
VA$7.52
VI$7.52
VT$7.52
WA$7.52
WI$7.52
WV$7.52
WY$7.52

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $33.45 to $53.36 depending on state and rural status.

StateNon-ruralRural
AK$47.73
AL$36.93$47.73
AR$36.93$47.73
AZ$34.07$47.73
CA$34.01$47.73
CO$34.07$47.73
CT$37.42$47.73
DC$33.45$47.73
DE$33.45$47.73
FL$36.93$47.73
GA$36.93$47.73
HI$47.73
IA$35.94$47.73
ID$34.07$47.73
IL$35.88$47.73
IN$35.88$47.73
KS$35.94$47.73
KY$36.93$47.73
LA$36.93$47.73
MA$37.42$47.73
MD$33.45$47.73
ME$37.42$47.73
MI$35.88$47.73
MN$35.94$47.73
MO$35.94$47.73
MS$36.93$47.73
MT$34.07$47.73
NC$36.93$47.73
ND$35.94$47.73
NE$35.94$47.73
NH$37.42$47.73
NJ$33.45$47.73
NM$34.07$47.73
NV$34.01$47.73
NY$33.45$47.73
OH$35.88$47.73
OK$34.07$47.73
OR$34.01$47.73
PA$33.45$47.73
PR$53.36
RI$37.42$47.73
SC$36.93$47.73
SD$35.94$47.73
TN$36.93$47.73
TX$34.07$47.73
UT$34.07$47.73
VA$36.93$47.73
VI$47.73
VT$37.42$47.73
WA$34.01$47.73
WI$35.88$47.73
WV$36.93$47.73
WY$34.07$47.73

UE + KE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $51.82 to $58.26 depending on state and rural status.

StateNon-ruralRural
AK$51.82
AL$51.82
AR$51.82
AZ$51.82
CA$51.82
CO$51.82
CT$51.82
DC$51.82
DE$51.82
FL$51.82
GA$51.82
HI$51.82
IA$51.82
ID$51.82
IL$51.82
IN$51.82
KS$51.82
KY$51.82
LA$51.82
MA$51.82
MD$51.82
ME$51.82
MI$51.82
MN$51.82
MO$51.82
MS$51.82
MT$51.82
NC$51.82
ND$51.82
NE$51.82
NH$51.82
NJ$51.82
NM$51.82
NV$51.82
NY$51.82
OH$51.82
OK$51.82
OR$51.82
PA$51.82
PR$58.26
RI$51.82
SC$51.82
SD$51.82
TN$51.82
TX$51.82
UT$51.82
VA$51.82
VI$51.82
VT$51.82
WA$51.82
WI$51.82
WV$51.82
WY$51.82

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $56.34 to $67.62 depending on state and rural status.

Former-CBA payment limits: ceiling $56.34 · floor $47.89

StateNon-ruralRural
AK$56.34
AL$56.34
AR$56.34
AZ$56.34
CA$56.34
CO$56.34
CT$56.34
DC$56.34
DE$56.34
FL$56.34
GA$56.34
HI$56.34
IA$56.34
ID$56.34
IL$56.34
IN$56.34
KS$56.34
KY$56.34
LA$56.34
MA$56.34
MD$56.34
ME$56.34
MI$56.34
MN$56.34
MO$56.34
MS$56.34
MT$56.34
NC$56.34
ND$56.34
NE$56.34
NH$56.34
NJ$56.34
NM$56.34
NV$56.34
NY$56.34
OH$56.34
OK$56.34
OR$56.34
PA$56.34
PR$67.62
RI$56.34
SC$56.34
SD$56.34
TN$56.34
TX$56.34
UT$56.34
VA$56.34
VI$56.34
VT$56.34
WA$56.34
WI$56.34
WV$56.34
WY$56.34
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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