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HCPCS E1701 Fee Schedule

Last Verified: January 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.

Replacement cushions for jaw motion rehabilitation system, pkg. of 6
Key FactDetail
Service Type

Durable Medical Equipment

Jaw Motion Rehabilitation Systems

Complexity LevelLow

National average reimbursement for HCPCS E1701 by major payers:

bcbs

$12.29

uhc

$7.75

aetna

$9.38

cigna

$18.28

Preview provider-level rates for...
For billing codeHCPCS E1701
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for HCPCS E1701

United
E1701$6.281093753386 - WILLAMETTE COMMUNITY HEALTH SOLUTIONS, CASCADE HEALTH SOLUTIONS930421470ORCommunity Based Hospice Care Agency (251G00000X)
United
E1701$6.551033191267 - STEPHENS COUNTY HOSPITAL AUTHORITY586001667 - (GA) STEPHENS COUNTY HOSPITAL AUTHORITYGARural Acute Care Hospital (282NR1301X)
United
E1701$11.841992789721 - PHOEBE PUTNEY MEMORIAL HOSPITAL INC, PHOEBE PUTNEY MEMORIAL HOSPTIAL581928247 - (GA) PHOEBE PUTNEY MEMORIAL HOSPITAL INCGAGeneral Acute Care Hospital (282N00000X)
United
E1701$7.011972731800 - MERIWETHER HEALTHCARE, L.L.C., WARM SPRINGS MEDICAL CENTER870764535 - (GA) MERIWETHER HEALTHCARE, LLC D/B/A WARM SPRINGS MEDICAL CENTERGACritical Access Hospital (282NC0060X)
United
E1701$8.001255478004 - CHRISTOPHER RAIO112050523 - ST FRANCIS HOSPITALNYEmergency Medicine Physician (207P00000X)
United
E1701$6.551497064679 - JENKINS COUNTY HOSPITAL LLC, OPTIM MEDICAL CENTER - JENKINS273100894GACritical Access Hospital (282NC0060X)
United
E1701$26.511073502985 - CHU CHEN42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC.MAPediatrics Physician (208000000X)
United
E1701$6.551033191267 - STEPHENS COUNTY HOSPITAL AUTHORITY586001667 - (GA) STEPHENS COUNTY HOSPITAL AUTHORITYGARural Acute Care Hospital (282NR1301X)
United
E1701$5.801174512115 - MICHAEL GUILLETTE271495988 - (NM) AZTEC URGENT CARE LLCCOPhysician Assistant (363A00000X)
United
E1701$6.551912099094 - COLQUITT REGIONAL MEDICAL CENTER580607088 - COLQUITT REGIONAL MEDICAL CENTERGAGeneral Acute Care Hospital (282N00000X)
United
E1701$6.551457329435 - PAULDING MEDICAL CENTER, INC., WELLSTAR PAULDING HOSPITAL582095884 - (GA) PAULDING MEDICAL CENTER INCGAGeneral Acute Care Hospital (282N00000X)
United
E1701$6.281508900101 - MICHAEL KOCH208418894 - (GA) PATHOLOGY LAB OF GEORGIA LLCGAGeneral Acute Care Hospital (282N00000X)
United
E1701$7.921043265564 - MONROE HMA, LLC, CLEARVIEW REGIONAL MEDICAL CENTER200141568 - (GA) MONROE HMA LLCGAGeneral Acute Care Hospital (282N00000X)
United
E1701$6.551356552350 - REDMOND PARK HOSPITAL LLC, REDMOND HOSPITAL BASED SERVICES LLC201017054 - (GA) REDMOND PARK HOSPITAL LLCGAGeneral Acute Care Hospital (282N00000X)
United
E1701$15.881255891958 - PIEDMONT NEWTON EKG BILLING LLC814475074 - (GA) PIEDMONT NEWTON HOSPITAL INCGAGeneral Acute Care Hospital (282N00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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HCPCS E1701 vs. Other Jaw Motion Rehabilitation Systems Codes

The HCPCS E1701 code is part of the Durable Medical Equipment services used for Jaw Motion Rehabilitation 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 E1701 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
E1700-HCPCSModerateJaw motion rehabilitation system
E1701-HCPCSLowReplacement cushions for jaw motion rehabilitation system, pkg. of 6
E1702-HCPCSLowReplacement measuring scales for jaw motion rehabilitation system, pkg. of 200

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E1701. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the E1701 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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