HCPCS E0995

Wheelchair accessory, calf rest/pad, replacement only, each

Current codeWheelchair Accessories11 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS E0995 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1451 plan——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$75.371 plan——
Island HospitalAnacortes$60.61 – $68.184 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1411 plan——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$84.391 plan——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$84.391 plan——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$84.391 plan——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$82.441 plan——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$10.25 – $1153 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$84.391 plan——

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Equipment fee, Washington
$33.40 (purchase new (NU)); rent $3.34 a month