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See a sample rate comparisonHCPCS E1372 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.
Immersion external heater for nebulizer
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Accessories for Oxygen Delivery Devices |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for E1372 |
National average reimbursement for HCPCS E1372 by major payers:
$108.33
$101.37
$86.90
$165.22
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HCPCS E1372
5 of 25 sample ratesHigher to lower in this preview
Grady Memorial Hospital Corporation, Grady Health Systems
Emory University
$268.01Published rateUnion County Hospital Authority, Union General Hospital
Union County Hospital Authority
$137.25Published rateEmanuel County Hospital Authority, Emanuel Medical Center
$67.43Published rateWildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
$54.90Published rateBacon County Health Services, Inc.
Bacon County Health Services Inc
$9.32Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E1372 vs. Other Accessories for Oxygen Delivery Devices Codes
The HCPCS E1372 code is part of the Durable Medical Equipment services used for Accessories for Oxygen Delivery 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 E1372 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 |
|---|---|---|
| E1358-HCPCS | Low | Oxygen accessory, DC power adapter for portable concentrator, any type, replacement only, each |
| E1372-HCPCS | Low | Immersion external heater for nebulizer |
| E1390-HCPCS | Moderate | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E1372. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1372 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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