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See a sample rate comparisonHCPCS E2103 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.
Non-adjunctive, non-implanted continuous glucose monitor or receiver
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Miscellaneous Pumps and Monitors |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for E2103 |
National average reimbursement for HCPCS E2103 by major payers:
$268.75
$182.45
$225.45
$334.06
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HCPCS E2103
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$566.60Published rateUnion County Hospital Authority, Union General Hospital
Union County Hospital Authority
$198.72Published rateKarlie Ryan
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$143.38Published rateWildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
$105.98Published rateUpson County Hospital Inc, Upson Regional Medical Center
Upson County Hospital Inc
$15.89Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E2103 vs. Other Miscellaneous Pumps and Monitors Codes
The HCPCS E2103 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 E2103 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 |
|---|---|---|
| E2102-HCPCS | Low | Adjunctive, non-implanted continuous glucose monitor or receiver |
| E2103-HCPCS | Moderate | Non-adjunctive, non-implanted continuous glucose monitor or receiver |
| E2120-HCPCS | High | Pulse generator system for tympanic treatment of inner ear endolymphatic fluid |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E2103. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E2103 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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