HCPCS E0657 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Durable Medical Equipment • Pneumatic Compressors and Appliances |
| Common Place of Service | |
| Common Modifiers | |
| Complexity Level | Moderate |
National average reimbursement for HCPCS E0657 by major payers:
$523.98
$378.18
$357.05
$900.47
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS E0657 | ||||||
United | E0657 | $318.73 | 1154344414 - GORDIAN MEDICAL VIII, INC., AMERICAN MEDICAL TECHNOLOGIES | 201138476 - (FL) GORDIAN MEDICAL VIII INC | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0657 | $235.91 | 1265638977 - ORTHOSTAT, CORP. | 260302728 - (FL) ORTHOSTAT CORP | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0657 | $163.33 | 1629063623 - A-1 MASTECTOMY CARE, INC | 760750697 - (FL) A1 MASTECTOMY CARE INC | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0657 | $167.25 | 1306161898 - SAT FAMILY, LLC, SPRING CREEK MEDICAL SUPPLY | 300847498 - (FL) SAT FAMILY LLC D/B/A SPRING CREEK MEDICAL SUPPLY | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0657 | $21.76 | 1982790275 - HOMETOWN MEDICAL EQUIPMENT & SUPPLIES, INC. | 201772938 - (FL) HOMETOWN MEDICAL EQUIPMENT SUPPLIES INC | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0657 | $28.98 | 1023496619 - REHAB TECHNOLOGIES LLC | 721391413 - REHAB TECHNOLOGIES LLC | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0657 | $363.32 | 1295013415 - BREVARD HMA HME, LLC, WUESTHOFF HOME MEDICAL EQUIPMENT | 273318793 - (FL) BREVARD HMA HME LLC | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0657 | $487.89 | 1922551126 - ABILITY MEDICAL HEALTH & WELLNESS LLC | 455599143 - (FL) ABILITY MEDICAL HEALTH WELLNESS LLC | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0657 | $45.90 | 1568465185 - MAR-J MEDICAL SUPPLY, INC. | 651038279 - (FL) MAR-J MEDICAL SUPPLY INC | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0657 | $29.02 | 1639114788 - SOUTHWEST MOBILITY INC., SCOOTER MOBILITY CENTER | 593436933 | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0657 | $26.60 | 1417217951 - ABC HOME MEDICAL SUPPLY, INC. | 510443844 - ABC HOME MEDICAL SUPPLY, INC | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0657 | $21.76 | 1609936921 - PREFERRED MEDICAL GROUP | 593718728 - (FL) PREFERRED MEDICAL GROUP | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0657 | $382.75 | 1578505376 - CENTRAL MOBILITY & REHAB EQUIPMENT INC. | 510474658 - (FL) CENTRAL MOBILITY REHAB EQUIPMENT INC | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0657 | $29.02 | 1952387698 - OXYGEN EXPRESS INCORPORATED | 201982174 - (FL) OXYGEN EXPRESS INCORPORATED | FL | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0657 | $222.97 | 1306161898 - SAT FAMILY, LLC, SPRING CREEK MEDICAL SUPPLY | 300847498 - (FL) SAT FAMILY LLC D/B/A SPRING CREEK MEDICAL SUPPLY | TN | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS E0657 vs. Other Pneumatic Compressors and Appliances Codes
The HCPCS E0657 code is part of the Durable Medical Equipment services used for Pneumatic Compressors and Appliances. 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 E0657 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0657. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0657 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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