HCPCS E0114 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Durable Medical Equipment • Walking Aids and Attachments |
| Common Place of Service | |
| Common Modifiers | |
| Complexity Level | Moderate |
National average reimbursement for HCPCS E0114 by major payers:
$29.30
$33.47
$31.71
$77.19
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS E0114 | ||||||
United | E0114 | $15.50 | 1295729143 - SYED ZAMAN | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Anatomic Pathology & Clinical Pathology Physician (207ZP0102X) |
United | E0114 | $3.58 | 1497098792 - CHRISTOPHER POWERS | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | E0114 | $38.02 | 1679567887 - THANG LE | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Internal Medicine Physician (207R00000X) |
United | E0114 | $6.67 | 1255503686 - KIMBERLY HURLEY | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | E0114 | $38.02 | 1245996628 - NANCY WALLACE | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Family Nurse Practitioner (363LF0000X) |
United | E0114 | $28.82 | 1376508846 - DANIEL GRACE | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Maternal & Fetal Medicine Physician (207VM0101X) |
United | E0114 | $28.82 | 1003937715 - DAYAL RAJA | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Endocrinology, Diabetes & Metabolism Physician (207RE0101X) |
United | E0114 | $6.67 | 1710935713 - JOHN RESTIVO | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Diagnostic Radiology Physician (2085R0202X) |
United | E0114 | $38.02 | 1750891974 - ABIGAIL HALL | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Medical Physician Assistant (363AM0700X) |
United | E0114 | $15.50 | 1194781658 - NANCY SHAHEEN | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Diagnostic Radiology Physician (2085R0202X) |
United | E0114 | $28.82 | 1194492538 - RENEE CARNEY | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Family Nurse Practitioner (363LF0000X) |
United | E0114 | $38.02 | 1497745228 - TIMOTHY LAFONT | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Internal Medicine Physician (207R00000X) |
United | E0114 | $38.02 | 1447543673 - WILLIAM GAETANO | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Family Medicine Physician (207Q00000X) |
United | E0114 | $38.02 | 1598885741 - MANZURUL SIKDER | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Hematology & Oncology Physician (207RH0003X) |
United | E0114 | $20.44 | 1538162789 - CHRISTOPHER ALINEA | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Internal Medicine Physician (207R00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS E0114 vs. Other Walking Aids and Attachments Codes
The HCPCS E0114 code is part of the Durable Medical Equipment services used for Walking Aids and Attachments. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS E0114 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| E0113 | Low | Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip |
| E0114 | Low | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
| E0116 | Low | Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0114. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0114 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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