What does each payer actually contract to pay for K0001? We watch it for every supplier location you run.
Commercial payers publish every contracted HCPCS allowed amount in their federal Transparency-in-Coverage filings, refreshed every 30 days under 45 CFR Part 180. Medicare DMEPOS is competitive bid; these commercial contracts are not, and that is where the spread lives. We track the per-unit variance across wheelchairs and mobility (K-codes), walkers, canes and crutches (E-codes), and spinal orthotics (L-codes), with oxygen, sleep, and CGM coverage building. Every gap surfaces across your multi-location NPI roster, and memos generate automatically. It runs without you.
Live preview, real filings: every rate below is a real commercial contracted HCPCS allowed amount from a federal TiC filing, peer count printed on every line. The full book unlocks with the Rate Audit. Federal data only, no PHI. Multi-location roster on paid plans.
| HCPCS Code | Payer | Class | Category | N rates | Medicare | P10 | P25 | P50 (median) | P75 | P90 | Gap / unit ▼ | Annual Uplift | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Enter a supplier location NPI to beginThe engine surfaces every payer's contracted HCPCS allowed amounts for that location automatically, across mobility, ambulation, and orthotic categories, widest per-unit gap first. | |||||||||||||
Every HCPCS rate is sourced from the payer's published federal Transparency-in-Coverage machine-readable file (45 CFR Part 180). We do not estimate. Peer count is printed on every line; rows under the floor of 5 records are flagged as thin samples, never dressed up. Read the full methodology →