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HCPCS E1405 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.

Oxygen and water vapor enriching system with heated delivery
Key FactDetail
Service Type

Durable Medical Equipment

Accessories for Oxygen Delivery Devices

Complexity LevelHigh
Medicaid Fee ScheduleView Medicaid rates for E1405

National average reimbursement for HCPCS E1405 by major payers:

bcbs

$1,025.17

uhc

$933.82

aetna

$648.44

cigna

$1,528.65

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS E1405.

HCPCS E1405
5 of 25 sample ratesHigher to lower in this preview
  1. Emory Crawford Long Hospital

    Emory University

    GAGeneral Acute Care HospitalNPI 1225281603Tax ID 58-1537752

    $1,294.48Published rate
  2. Hospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital

    Hospital Authority Of Jefferson County And The City Of Louisville

    GAGeneral Acute Care HospitalNPI 1710992433Tax ID 58-1309961

    $820.08Published rate
  3. Navicent Health Oconee, LLC, Navicent Health Baldwin

    Navicent Health Oconee LLC

    GAGeneral Acute Care HospitalNPI 1316938459Tax ID 58-2359398

    $802.83Published rate
  4. Colquitt Regional Medical Center

    GAGeneral Acute Care HospitalNPI 1912099094Tax ID 58-0607088

    $149.63Published rate
  5. Hospital Authority Of Liberty County, Liberty Regional Medical Center

    GACritical Access HospitalNPI 1326079260Tax ID 58-6025016

    $64.48Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS E1405 vs. Other Accessories for Oxygen Delivery Devices Codes

The HCPCS E1405 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 E1405 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.

CodeComplexityDescription
E1399-HCPCSHighDurable medical equipment, miscellaneous
E1405-HCPCSHighOxygen and water vapor enriching system with heated delivery
E1406-HCPCSModerateOxygen and water vapor enriching system without heated delivery

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E1405. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the E1405 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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