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See a sample rate comparisonHCPCS E0560 Fee Schedule
Last Verified: October 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.
Humidifier, durable for supplemental humidification during IPPB treatment or oxygen delivery
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Humidifiers and Nebulizers with Related Equipment |
| Complexity Level | Low |
| Medicaid Fee Schedule | $158.45 median of the 5 states in the free preview · View Medicaid rates for E0560 |
National average reimbursement for HCPCS E0560 by major payers:
$145.89
$106.19
$113.76
$243.10
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HCPCS E0560
5 of 25 sample ratesHigher to lower in this preview
Aztec Urgent Care, LLC
Aztec Urgent Care LLC
$131.94Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Grady Memorial Hospital Corporation
$87.58Published rateChatuge Regional Hospital Inc
$71.06Published ratePhoenix Vamc
$16.08Published rateWildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
$7.36Published rate
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See a sample payer proposalHCPCS E0560 vs. Other Humidifiers and Nebulizers with Related Equipment Codes
The HCPCS E0560 code is part of the Durable Medical Equipment services used for Humidifiers and Nebulizers with Related Equipment. 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 E0560 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 |
|---|---|---|
| E0555-HCPCS | Low | Humidifier, durable, glass or autoclavable plastic bottle type, for use with regulator or flowmeter |
| E0560-HCPCS | Low | Humidifier, durable for supplemental humidification during IPPB treatment or oxygen delivery |
| E0561-HCPCS | Low | Humidifier, non-heated, used with positive airway pressure device |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0560. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0560 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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