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HCPCS E0530 Fee Schedule

Last Verified: September 2026

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.

Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type
Key FactDetail
Service Type

Durable Medical Equipment

Electronic Positional Obstructive Sleep Apnea Treatment

Complexity LevelModerate
Medicaid Fee ScheduleView Medicaid rates for E0530

National average reimbursement for HCPCS E0530 by major payers:

bcbs

$259.83

uhc

$187.49

aetna

$N/A

cigna

$475.58

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS E0530.

HCPCS E0530
5 of 25 sample ratesHigher to lower in this preview
  1. Emory University, Emory University Hospital

    Emory University

    GAGeneral Acute Care HospitalNPI 1588640692Tax ID 58-0566256

    $544.65Published rate
  2. Emory Crawford Long Hospital

    Emory University

    GAGeneral Acute Care HospitalNPI 1225281603Tax ID 58-2030692

    $61.43Published rate
  3. Atlanta Vamc

    GAGeneral Acute Care HospitalNPI 1902855216Tax ID 58-2091280

    $28.43Published rate
  4. Jacob Holloway

    GAGeneral Acute Care HospitalNPI 1831538743Tax ID 27-3818647

    $21.31Published rate
  5. Christopher Raio

    St Joseph Hospital

    NYEmergency Medicine PhysicianNPI 1255478004Tax ID 11-3438973

    $12.79Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS E0530 vs. Other Electronic Positional Obstructive Sleep Apnea Treatment Codes

The HCPCS E0530 code is part of the Durable Medical Equipment services used for Electronic Positional Obstructive Sleep Apnea Treatment. 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 E0530 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.

CodeComplexityDescription
E0530-HCPCSModerateElectronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0530. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the E0530 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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