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See a sample rate comparisonHCPCS E0738 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Stimulation Devices |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for E0738 |
National average reimbursement for HCPCS E0738 by major payers:
$17,719.26
$11,320.21
$N/A
$26,256.76
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HCPCS E0738
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$27,149.33Published rateDonalsonville Hospital Inc
$13,376.38Published rateNortheast Georgia Medical Center, Inc.
Gainesville Radiology Group
$10,797.42Published rateScreven County Hospital, LLC, Optim Medical Center - Screven
$8,061.04Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$781.10Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E0738 vs. Other Stimulation Devices Codes
The HCPCS E0738 code is part of the Durable Medical Equipment services used for Stimulation Devices. 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 E0738 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 |
|---|---|---|
| E0738-HCPCS | High | Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0738. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0738 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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