Capped Rental Items - 2006 Region A DMERC Fee Schedule
(Click here for a text version of this fee schedule.)

HCPCSMOD1MOD2CeilingFloorCTDEMAMENHNJNYPARIVT
E0165RR $18.58$15.79$18.58$16.00$15.79$15.79$15.79$18.22$18.58$15.79$18.58$15.79
E0166RR $31.14$26.47$26.47$31.14$31.14$31.14$31.14$26.47$31.14$26.47$31.14$31.14
E0170RR $160.72$136.61$160.72$160.72$160.72$160.72$160.72$160.72$160.72$160.72$160.72$160.72
E0171RR $28.92$24.58$28.92$28.92$28.92$28.92$28.92$28.92$28.92$28.92$28.92$28.92
E0180RR $21.73$18.47$21.73$21.19$21.73$21.73$21.73$20.37$21.05$20.79$18.47$21.73
E0181RR $24.08$20.47$24.08$23.49$24.08$24.08$24.08$22.60$23.33$23.06$20.47$24.08
E0182RR $26.18$22.25$22.25$26.18$22.25$22.25$22.25$26.18$22.42$26.18$22.25$22.25
E0186RR $20.30$17.26$20.30$20.30$17.26$17.26$17.26$20.30$20.30$20.30$18.60$17.26
E0187RR $23.21$19.73$23.21$23.21$19.73$19.73$19.73$22.57$23.21$23.21$19.73$19.73
E0193RR $903.46$767.94$895.06$842.90$903.46$903.46$903.46$869.41$895.83$903.46$767.94$903.46
E0194RR $3254.34$2766.19$3254.34$3254.34$3254.34$3254.34$3254.34$3149.86$2766.19$3216.94$3040.96$3254.34
E0196RR $32.49$27.62$32.49$31.93$27.62$27.62$27.62$27.62$32.49$32.49$27.62$27.62
E0202RR $62.61$53.22$54.22$62.61$60.28$62.32$57.22$62.61$62.61$62.61$53.22$59.79
E0235RR $17.26$14.67$17.26$17.26$15.76$16.21$14.88$17.26$17.26$17.26$14.67$15.55
E0236RR $44.25$37.61$39.23$39.85$44.25$44.25$44.25$38.28$38.52$39.11$37.61$44.25
E0250RR $97.76$83.10$97.76$97.76$97.76$97.76$97.76$92.92$83.10$97.76$84.29$97.76
E0251RR $74.08$62.97$74.08$74.08$74.08$74.08$74.08$67.67$67.61$74.08$74.08$74.08
E0255RR $117.48$99.86$117.48$117.48$117.48$117.48$117.48$101.58$117.48$114.37$99.86$117.48
E0256RR $83.35$70.85$83.35$78.46$83.35$83.35$83.35$70.85$83.35$78.09$83.35$83.35
E0260RR $0.00$0.00$140.45$140.46$140.46$140.45$140.46$140.46$140.46$140.46$140.47$140.45
E0261RR $136.94$116.40$136.94$136.94$136.94$136.94$136.94$116.40$136.94$128.65$116.40$136.94
E0265RR $199.88$169.90$193.79$199.88$199.88$199.88$194.63$192.12$199.88$199.88$169.90$199.88
E0266RR $177.59$150.95$153.96$150.95$177.59$177.59$177.59$177.59$177.59$177.59$150.95$177.59
E0277RR $0.00$0.00$703.47$645.46$703.47$703.47$703.47$645.46$703.47$645.46$703.47$703.47
E0290RR $74.74$63.53$74.74$74.74$74.74$74.74$74.74$63.53$73.63$74.74$74.74$74.74
E0291RR $54.30$46.16$54.30$54.30$54.30$54.30$54.30$46.16$54.30$54.30$54.30$54.30
E0292RR $84.04$71.43$84.04$77.88$84.04$84.04$84.04$71.43$84.04$81.07$74.71$84.04
E0293RR $71.51$60.78$71.51$71.51$71.51$71.51$71.51$68.69$71.51$71.51$60.78$71.51
E0294RR $130.65$111.05$130.65$130.65$130.65$130.65$130.65$111.47$130.65$130.65$111.05$130.65
E0295RR $127.35$108.25$109.20$127.35$127.35$127.35$127.35$111.47$127.35$127.35$108.25$127.35
E0296RR $164.20$139.57$162.35$164.20$164.20$164.20$164.20$140.95$164.20$164.20$139.57$164.20
E0297RR $140.67$119.57$122.51$119.57$140.67$140.67$138.79$140.67$140.67$140.67$119.57$140.67
E0301RR $270.72$230.11$270.72$264.08$270.72$270.72$270.72$252.58$262.10$258.66$230.11$270.72
E0302RR $715.44$608.12$715.44$715.44$715.44$715.44$715.44$715.44$715.44$715.44$715.44$715.44
E0303RR $303.98$258.38$303.98$297.32$303.98$303.98$303.98$285.83$295.35$291.90$258.38$303.98
E0304RR $770.67$655.07$770.67$770.67$770.67$770.67$770.67$770.67$770.67$770.67$770.67$770.67
E0305RR $17.79$15.12$17.79$17.79$17.79$17.79$17.79$15.12$15.12$16.00$16.17$17.79
E0316RR $211.28$179.59$211.28$211.28$211.28$211.28$211.28$211.28$211.28$211.28$211.28$211.28
E0371RR $444.48$377.81$444.48$433.84$444.48$444.48$444.48$417.09$431.00$425.96$377.81$444.48
E0372RR $539.34$458.44$539.34$526.47$539.34$539.34$539.34$506.09$522.98$516.87$458.44$539.34
E0373RR $614.47$522.30$614.47$603.06$614.47$614.47$614.47$579.75$599.09$592.09$522.30$614.47
E0459RR $50.89$43.26$50.89$50.89$50.89$50.89$50.89$50.89$50.89$50.89$50.89$50.89
E0462RR $291.40$247.69$269.22$291.40$247.69$247.69$247.69$291.40$247.69$291.40$247.69$247.69
E0470RR $256.60$218.11$239.78$218.11$231.77$238.54$229.82$218.11$256.60$218.11$237.89$230.98
E0480RR $43.94$37.35$43.94$43.94$43.94$43.94$43.94$43.94$37.35$43.94$37.35$43.94
E0482RR $430.02$365.52$430.02$419.73$430.02$430.02$430.02$403.53$416.98$412.10$365.52$430.02
E0483RR $1063.13$903.66$1063.13$1063.13$1063.13$1063.13$1063.13$1063.13$1063.13$1063.13$1063.13$1063.13
E0550RR $50.13$42.61$42.61$50.13$42.61$42.61$42.61$50.13$50.13$50.13$42.61$42.61
E0565RR $61.01$51.86$61.01$51.86$61.01$61.01$61.01$51.86$61.01$61.01$61.01$61.01
E0570RR $0.00$0.00$16.10$16.10$16.11$16.11$16.11$16.10$16.10$16.10$16.10$16.11
E0571RR $29.97$25.47$29.97$29.40$29.97$29.97$29.97$28.28$29.21$28.86$25.47$29.97
E0572RR $38.09$32.38$38.09$37.38$38.09$38.09$38.09$35.93$37.13$36.71$32.38$38.09
E0574RR $40.26$34.22$40.26$39.52$40.26$40.26$40.26$37.97$39.27$38.80$34.22$40.26
E0585RR $35.07$29.81$35.07$35.07$29.81$29.81$29.81$35.07$35.07$35.07$35.07$29.81
E0600RR $45.79$38.92$45.79$45.79$45.79$45.79$45.79$44.03$45.79$45.79$45.79$45.79
E0601RR $111.71$94.95$102.24$104.09$96.99$99.82$96.18$100.10$111.71$102.23$111.71$96.64
E0606RR $22.94$19.50$22.94$19.50$22.94$22.94$22.89$19.50$20.96$19.50$19.50$22.94
E0617RR $304.05$258.44$304.05$304.05$304.05$304.05$304.05$304.05$304.05$304.05$304.05$304.05
E0617RRKF$328.70$279.40$328.70$328.70$328.70$328.70$328.70$328.70$328.70$328.70$328.70$328.70
E0618RR $280.35$238.30$280.35$255.08$280.35$280.35$280.35$245.23$280.35$250.47$280.35$280.35
E0619RR $0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00
E0630RR $101.89$86.61$87.68$101.89$101.89$101.89$92.09$96.83$101.89$101.89$97.45$96.27
E0635RR $122.36$104.01$104.01$104.01$122.36$122.36$122.36$104.01$114.71$104.01$104.01$122.36
E0636RR $1054.56$896.38$1054.56$1054.56$1054.56$1054.56$1054.56$1054.56$1054.56$1054.56$1054.56$1054.56
E0675RR $384.55$326.87$384.55$384.55$384.55$384.55$384.55$384.55$384.55$384.55$384.55$384.55
E0744RR $91.57$77.83$85.25$91.57$91.57$91.57$91.57$91.57$91.57$91.57$77.83$91.57
E0745RR $89.51$76.08$78.95$89.51$89.51$89.51$76.08$89.51$88.78$89.51$76.08$76.08
E0749RRKF$276.89$235.36$276.89$276.89$276.89$276.89$261.49$276.89$247.19$276.89$235.36$273.34
E0779RR $16.73$14.22$16.73$16.43$16.73$16.73$16.73$16.73$16.32$16.13$14.70$16.73
E0781RR $264.87$225.14$264.87$225.14$225.14$225.14$225.14$225.14$225.14$225.14$231.27$225.14
E0784RR $417.57$354.93$417.57$417.57$417.57$417.57$417.57$417.57$417.57$417.57$417.57$417.57
E0791RR $316.20$268.77$316.20$268.77$316.20$316.20$316.20$268.77$268.77$268.77$271.87$316.20
E0910RR $20.00$17.00$20.00$20.00$20.00$20.00$20.00$19.56$20.00$20.00$20.00$20.00
E0911RR $49.85$42.37$49.85$49.85$49.85$49.85$49.85$49.85$49.85$49.85$49.85$49.85
E0912RR $114.47$97.30$114.47$114.47$114.47$114.47$114.47$114.47$114.47$114.47$114.47$114.47
E0920RR $46.14$39.22$46.14$46.14$46.14$46.14$46.14$39.69$46.14$46.14$46.14$46.14
E0930RR $45.69$38.84$45.69$41.31$45.69$45.69$45.69$39.69$40.46$45.69$45.69$45.69
E0940RR $34.77$29.55$34.38$34.77$34.77$34.77$34.77$31.68$34.77$29.55$34.77$34.77
E0941RR $43.41$36.90$43.41$40.30$36.90$36.90$36.90$38.73$43.41$43.41$43.41$36.90
E0946RR $59.16$50.29$59.16$59.16$59.16$59.16$59.16$59.16$53.53$59.16$59.16$59.16
E0958RR $43.63$37.09$43.63$43.63$37.09$37.41$37.09$42.41$43.35$43.40$37.09$37.09
E0968RR $17.93$15.24$17.93$17.93$16.94$17.46$16.02$17.93$17.91$17.93$15.24$16.75
E0983RR $249.93$212.44$249.93$244.47$249.93$249.93$249.93$235.02$242.86$240.02$212.44$249.93
E1031RR $50.51$42.93$50.51$50.51$49.09$50.51$46.35$50.51$42.93$50.51$50.51$48.44
E1035RR $613.20$521.22$613.20$613.20$613.20$613.20$613.20$613.20$613.20$613.20$613.20$613.20
E1037RR $108.49$92.22$108.49$108.49$108.49$108.49$108.49$108.49$108.49$108.49$108.49$108.49
E1038RR $18.03$15.33$18.03$18.03$18.03$18.03$18.03$18.03$18.03$18.03$18.03$18.03
E1039RR $34.20$29.07$34.20$34.20$34.20$34.20$34.20$34.20$34.20$34.20$34.20$34.20
E1050RR $101.84$86.56$101.84$101.84$86.56$86.56$86.56$101.84$101.54$94.75$86.56$86.56
E1060RR $126.07$107.16$114.36$126.07$126.07$126.07$125.01$113.30$110.27$126.07$118.92$126.07
E1070RR $109.53$93.10$109.53$93.10$109.53$109.53$97.27$109.53$103.96$109.53$103.87$101.66
E1083RR $78.74$66.93$78.74$78.74$72.72$74.79$68.65$72.17$78.74$78.74$66.93$71.75
E1084RR $98.10$83.39$98.10$98.10$96.57$98.10$91.18$98.10$92.14$98.10$83.39$95.32
E1087RR $126.51$107.53$107.53$126.51$126.51$126.51$107.53$116.00$126.51$109.10$126.51$107.53
E1088RR $150.77$128.15$128.15$150.77$150.77$150.77$128.15$150.77$150.77$147.66$150.77$128.15
E1092RR $128.51$109.23$128.51$128.51$109.23$109.23$109.23$128.51$128.51$128.51$109.23$109.23
E1093RR $110.52$93.94$110.52$110.52$93.94$93.94$93.94$110.52$110.52$110.52$93.94$93.94
E1100RR $103.81$88.24$103.81$103.81$103.81$103.81$97.27$103.81$97.48$103.81$99.85$101.66
E1110RR $101.66$86.41$86.41$86.41$101.66$101.66$97.27$101.66$96.56$100.33$101.66$101.66
E1150RR $81.58$69.34$69.92$81.58$81.58$75.12$81.58$78.16$81.58$81.58$69.34$81.58
E1160RR $62.50$53.13$62.50$62.50$62.50$55.56$53.13$61.46$62.50$62.50$62.50$55.02
E1170RR $89.31$75.91$89.31$89.31$89.31$89.31$89.31$86.31$82.62$75.91$75.91$89.31
E1171RR $80.15$68.13$80.15$71.43$80.15$80.15$80.15$68.67$76.67$70.14$71.80$80.15
E1172RR $97.95$83.26$97.95$91.85$97.95$97.95$97.27$88.30$97.95$88.95$83.26$97.95
E1180RR $101.34$86.14$101.34$86.14$101.34$101.34$101.34$94.39$101.34$86.14$86.14$101.34
E1190RR $117.07$99.51$117.07$117.07$107.92$105.76$101.91$109.06$117.07$101.97$99.51$106.53
E1195RR $125.63$106.79$125.63$106.79$125.63$125.63$125.63$106.79$125.63$106.79$106.79$125.63
E1200RR $87.01$73.96$73.96$76.51$87.01$87.01$74.36$81.21$87.01$87.01$73.96$77.73
E1221RR $47.51$40.38$40.38$47.51$47.51$47.50$45.77$41.92$47.51$40.38$40.38$47.51
E1222RR $67.79$57.62$67.79$67.79$67.79$67.68$65.19$67.79$67.79$67.79$57.62$67.79
E1223RR $74.02$62.92$74.02$74.02$74.02$74.02$72.38$74.02$72.52$72.60$62.92$74.02
E1224RR $81.15$68.98$81.15$81.15$81.15$81.15$81.15$81.15$68.98$81.15$68.98$81.15
E1225RR $45.20$38.42$45.20$45.20$38.42$38.42$38.42$45.20$45.20$45.20$38.42$38.42
E1228RR $28.02$23.82$28.02$23.82$28.02$28.02$28.02$23.82$23.82$23.82$23.82$28.02
E1240RR $103.02$87.57$103.02$103.02$103.02$103.02$98.57$103.02$94.40$92.49$87.57$103.02
E1270RR $78.94$67.10$78.94$67.10$78.94$78.94$78.94$76.84$70.38$78.94$67.10$78.94
E1280RR $131.26$111.57$131.26$111.57$131.26$131.26$131.26$122.82$131.26$131.26$113.02$131.26
E1295RR $121.47$103.25$121.47$116.14$121.47$121.47$121.47$118.19$121.47$118.38$110.78$121.47
E1800RR $122.50$104.13$104.13$104.13$104.13$104.29$104.13$104.13$104.13$104.13$104.13$104.13
E1801RR $129.00$109.65$129.00$125.93$129.00$129.00$129.00$121.09$125.09$123.65$109.65$129.00
E1802RR $326.80$277.78$326.80$326.80$326.80$326.80$326.80$326.80$326.80$326.80$326.80$326.80
E1805RR $126.34$107.39$126.34$116.91$126.34$126.34$124.58$112.39$116.14$114.79$107.39$126.32
E1806RR $105.91$90.02$105.91$103.37$105.91$105.91$105.91$99.37$102.69$101.49$90.02$105.91
E1810RR $124.58$105.89$105.89$116.91$105.89$105.89$124.58$112.39$116.14$114.79$105.89$124.58
E1811RR $134.12$114.00$134.12$130.94$134.12$134.12$134.12$125.87$130.08$128.55$114.00$134.12
E1812RR $0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00
E1815RR $126.34$107.39$126.34$116.91$126.34$126.34$124.58$112.39$116.14$114.79$107.39$126.32
E1816RR $136.24$115.80$136.24$132.97$136.24$136.24$136.24$127.85$132.10$130.57$115.80$136.24
E1818RR $139.09$118.23$139.09$135.77$139.09$139.09$139.09$130.52$134.86$133.29$118.23$139.09
E1825RR $126.34$107.39$126.34$116.91$126.34$126.34$124.58$112.39$116.14$114.79$107.39$126.32
E1830RR $126.34$107.39$126.34$116.91$126.34$126.34$124.58$112.39$116.14$114.79$107.39$126.32
E1840RR $382.71$325.30$382.71$382.71$382.71$382.71$382.71$371.82$382.71$379.70$325.30$382.71
E1841RR $453.00$385.05$453.00$453.00$453.00$453.00$453.00$453.00$453.00$453.00$453.00$453.00
E2000RR $51.83$44.06$51.83$50.57$51.83$51.83$51.83$48.62$50.25$49.65$44.06$51.83
E2120RR $283.52$240.99$283.52$283.52$283.52$283.52$283.52$283.52$283.52$283.52$283.52$283.52
E2402RR $1716.46$1458.99$1716.46$1716.46$1716.46$1716.46$1716.46$1716.46$1716.46$1716.46$1716.46$1716.46
K0001RR $0.00$0.00$48.33$53.27$53.27$53.27$51.28$52.48$51.56$53.27$53.27$46.43
K0002RR $81.83$69.56$77.61$81.83$75.59$77.81$71.39$81.83$81.40$81.83$69.56$74.60
K0003RR $89.59$76.15$89.59$76.15$89.59$89.59$88.76$89.59$80.22$89.59$76.15$89.59
K0004RR $133.64$113.59$114.03$113.59$133.64$133.64$127.82$114.12$133.64$128.42$133.64$133.64
K0006RR $125.41$106.60$125.41$106.60$125.41$125.41$125.41$122.39$125.41$125.41$106.60$125.41
K0007RR $178.50$151.73$178.50$176.63$178.50$178.50$178.50$169.81$175.47$173.43$151.73$178.50
K0010RR $425.99$362.09$425.99$365.46$425.99$425.99$425.99$362.09$362.09$362.41$362.09$425.99
K0011RR $0.00$0.00$512.28$512.25$512.28$512.28$512.28$497.02$512.27$507.59$450.20$512.28
K0011RRKF$0.00$0.00$553.80$553.78$553.80$553.80$553.80$537.32$553.81$548.73$486.69$553.80
K0012RR $324.92$276.18$324.92$317.16$324.92$324.92$324.92$304.88$315.04$311.39$276.18$324.92
K0195RR $21.07$17.91$17.91$21.07$17.91$17.91$17.91$17.91$17.91$21.07$17.91$20.19
K0606RR $0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00
K0606RRKF$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00

Inclusion or exclusion of a fee schedule amount for an item or service does not imply any health insurance coverage.

Capped Rental   Frequently Serviced Items   Inexpensive/Routinely Purchased Items   Ostomy, Tracheostomy & Urologicals  
Oxygen & Oxygen Equipment   Prosthetics & Orthotics   Surgical Dressings   Supplies   TENS   Therapeutic Shoes  
Back to 2006 Fee Schedule