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See a sample rate comparisonHCPCS E0466 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Oxygen Delivery Systems and Related Supplies |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for E0466 |
National average reimbursement for HCPCS E0466 by major payers:
$2,190.84
$6,480.72
$919.44
$12,695.70
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HCPCS E0466
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$23,397.26Published rateMichael Guillette
Aztec Urgent Care LLC
$5,116.06Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$2,439.60Published rateGeorge Hemstreet
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$565.53Published rateWildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
$443.55Published rate
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See a sample payer proposalHCPCS E0466 vs. Other Oxygen Delivery Systems and Related Supplies Codes
The HCPCS E0466 code is part of the Durable Medical Equipment services used for Oxygen Delivery Systems and Related Supplies. 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 E0466 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 |
|---|---|---|
| E0465-HCPCS | High | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
| E0466-HCPCS | High | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
| E0467-HCPCS | High | Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all accessories, components and supplies for all functions |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0466. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0466 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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