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See a sample rate comparisonHCPCS E0605 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.
Vaporizer, room type
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Other Breathing Aids |
| Complexity Level | Low |
| Medicaid Fee Schedule | $31.55 median of the 5 states in the free preview · View Medicaid rates for E0605 |
National average reimbursement for HCPCS E0605 by major payers:
$25.82
$19.24
$21.03
$43.90
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HCPCS E0605
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$52.95Published rateMeriwether County Hospital Authority, Warm Springs Medical Center
Meriwether Healthcare, LLC D/B/A Warm Springs Medical Center
$15.64Published rateTaylor Regional Hospital
$14.60Published rateChristopher Raio
St Francis Hospital
$12.28Published rateDodge County Hospital Authority, Dodge County Hospital
Dodge County Hospital Authority
$1.82Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E0605 vs. Other Other Breathing Aids Codes
The HCPCS E0605 code is part of the Durable Medical Equipment services used for Other Breathing Aids. 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 E0605 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 |
|---|---|---|
| E0604-HCPCS | Moderate | Breast pump, hospital grade, electric (AC and / or DC), any type |
| E0605-HCPCS | Low | Vaporizer, room type |
| E0606-HCPCS | Low | Postural drainage board |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0605. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0605 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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