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See a sample rate comparisonHCPCS E2101 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.
Blood glucose monitor with integrated lancing/blood sample
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Miscellaneous Pumps and Monitors |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for E2101 |
National average reimbursement for HCPCS E2101 by major payers:
$149.67
$139.00
$130.21
$333.61
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HCPCS E2101
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$333.58Published rateScreven County Hospital, LLC, Optim Medical Center - Screven
$125.94Published rateEmory Healthcare
$111.70Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$16.82Published rateEmory Healthcare
$11.17Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E2101 vs. Other Miscellaneous Pumps and Monitors Codes
The HCPCS E2101 code is part of the Durable Medical Equipment services used for Miscellaneous Pumps and Monitors. 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 E2101 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 |
|---|---|---|
| E2100-HCPCS | Moderate | Blood glucose monitor with integrated voice synthesizer |
| E2101-HCPCS | Low | Blood glucose monitor with integrated lancing/blood sample |
| E2102-HCPCS | Low | Adjunctive, non-implanted continuous glucose monitor or receiver |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E2101. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E2101 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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