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See a sample rate comparisonHCPCS E0574 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.
Ultrasonic/electronic aerosol generator with small volume nebulizer
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Humidifiers and Nebulizers with Related Equipment |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for E0574 |
National average reimbursement for HCPCS E0574 by major payers:
$334.93
$256.33
$232.46
$638.87
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HCPCS E0574
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,033.56Published rateChristopher Raio
St Francis Hospital
$258.59Published rateEmory Healthcare
Cardiac Arrhythmia Institute
$177.55Published rateAugusta Vamc
$32.20Published rateEmory Healthcare
Cardiac Arrhythmia Institute
$23.85Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E0574 vs. Other Humidifiers and Nebulizers with Related Equipment Codes
The HCPCS E0574 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 E0574 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 |
|---|---|---|
| E0572-HCPCS | Moderate | Aerosol compressor, adjustable pressure, light duty for intermittent use |
| E0574-HCPCS | Moderate | Ultrasonic/electronic aerosol generator with small volume nebulizer |
| E0575-HCPCS | Moderate | Nebulizer, ultrasonic, large volume |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0574. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0574 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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