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Monthly Rental Payment Calculators

The calculators below will estimate monthly payments for HCPCS codes based on the fee schedule amount entered. The amounts estimated by the calculators are not guaranteed amounts and are based solely on the amounts that are entered into the calculators. Amounts may change based on other factors. Refer to the Supplier Manual Chapter 5PDF for more information.

Capped Rental Items Monthly Payment Calculator

HCPCS:
Fee Schedule Amount:
 

Payment, Months 1-3:
Payment, Months 4-13:

Standard Power Wheelchairs and Complex Rehabilitative Power Wheelchairs and Wheelchair Options/Accessories Monthly Payment Calculator

HCPCS:
Fee Schedule Amount:
 

Payment, Months 1-3:
Payment, Months 4-13:
HCPCS for Purchase Option: K0835-K0843, K0848-K0864

Disclaimer: CGS' online tools and calculators are informational and educational tools only, designed to assist suppliers and providers in submitting claims correctly. CGS makes no guarantee that this resource will result in Medicare reimbursement for services provided. Although we've made every reasonable effort to provide effective resources, CGS is not responsible for the consequences of any decisions or actions taken in reliance upon or as a result of the information that these tools provide. CGS is not responsible for any human or mechanical errors or omissions.

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