Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHealthcare 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 ULTRAVIOLET LIGHT THERAPY SYSTEMS |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for E0691 |
National average reimbursement for HCPCS E0691 by major payers:

$802.30

$668.37

$653.86

$1,500.14
Choose a payer to see a sample of rates for HCPCS E0691.
Emory University
Smith Of Georgia
Hospital Authority Of Jenkins County Dba Jenkins County Medical Center
Pinnacle Ent Alliance, LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS E0691 vs. Other ULTRAVIOLET LIGHT THERAPY SYSTEMS Codes
The HCPCS E0691 code is part of the Durable Medical Equipment services used for ULTRAVIOLET LIGHT THERAPY SYSTEMS. 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 E0691 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 |
|---|---|---|
| E0677-HCPCS | Moderate | Non-pneumatic sequential compression garment, trunk |
| E0691-HCPCS | Moderate | Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less |
| E0692-HCPCS | High | Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 foot panel |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0691. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0691 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.
Bring your top codes (like HCPCS E0691) and we'll show you how you compare in 15 minutes or less.