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See a sample rate comparisonHCPCS E0607 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.
Home blood glucose monitor
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Monitoring Equipment |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for E0607 |
National average reimbursement for HCPCS E0607 by major payers:
$55.19
$51.81
$53.32
$112.46
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HCPCS E0607
5 of 25 sample ratesHigher to lower in this preview
Howard Orthotics And Prosthetics, LLC
Howard Orthotics And Prosthetics LLC
$91.16Published rateFirst Community Care Of Bassett, LLC
$45.11Published ratePark Avenue Orthotics, Inc.
Park Avenue Orthotics Inc
$35.08Published rateQuinlans Pharmacy Inc
Quinlan Pharmacy
$5.63Published rateNew Utrecht Surgical Supplies Corp
$3.58Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E0607 vs. Other Monitoring Equipment Codes
The HCPCS E0607 code is part of the Durable Medical Equipment services used for Monitoring 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 E0607 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 |
|---|---|---|
| E0606-HCPCS | Low | Postural drainage board |
| E0607-HCPCS | Low | Home blood glucose monitor |
| E0610-HCPCS | Moderate | Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0607. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0607 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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