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See a sample rate comparisonHCPCS E0561 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, non-heated, used with positive airway pressure device
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Humidifiers and Nebulizers with Related Equipment |
| Complexity Level | Low |
| Medicaid Fee Schedule | $69.65 median of the 5 states in the free preview · View Medicaid rates for E0561 |
National average reimbursement for HCPCS E0561 by major payers:
$64.78
$62.15
$54.21
$102.29
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HCPCS E0561
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$162.16Published rateColquitt Regional Medical Center
$69.55Published rateTaylor Regional Hospital
$52.15Published rateColquitt Regional Medical Center
$6.94Published rateUpson County Hospital Inc, Upson Regional Medical Center
Upson County Hospital Inc
$4.90Published rate
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See a sample payer proposalHCPCS E0561 vs. Other Humidifiers and Nebulizers with Related Equipment Codes
The HCPCS E0561 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 E0561 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 |
|---|---|---|
| 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 |
| E0562-HCPCS | Low | Humidifier, 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 E0561. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0561 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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