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Fee Schedule Category: Frequently Serviced Items
Short Description for E0467: Home vent multi-function
Long Description for E0467: HOME VENTILATOR, MULTI-FUNCTION RESPIRATORY DEVICE, ALSO PERFORMS ANY OR ALL OF THE ADDITIONAL FUNCTIONS OF OXYGEN CONCENTRATION, DRUG NEBULIZATION, ASPIRATION, AND COUGH STIMULATION, INCLUDES ALL ACCESSORIES, COMPONENTS AND SUPPLIES FOR ALL FUNCTIONS

Rural ZIP Code Checker


Beneficiary State of Residence Modifier Modifier Rural Fee Non-Rural Fee Effective From Effective To
DE RR $1,315.73 $1,291.42 04/01/2021 06/30/2021
DC RR $1,206.07 $1,181.78 04/01/2021 06/30/2021
AL RR $1,138.80 $1,117.33 04/01/2021 06/30/2021
AK RR $1,169.14 04/01/2021 06/30/2021
AZ RR $1,303.34 $1,281.25 04/01/2021 06/30/2021
CT RR $1,323.45 $1,301.24 04/01/2021 06/30/2021
AR RR $1,297.33 $1,274.03 04/01/2021 06/30/2021
CA RR $1,153.70 $1,128.65 04/01/2021 06/30/2021
CO RR $1,139.66 $1,118.97 04/01/2021 06/30/2021
HI RR $1,231.23 04/01/2021 06/30/2021
FL RR $1,312.37 $1,289.48 04/01/2021 06/30/2021
GA RR $1,315.48 $1,292.17 04/01/2021 06/30/2021
IL RR $1,323.82 $1,299.44 04/01/2021 06/30/2021
IA RR $1,249.58 $1,228.44 04/01/2021 06/30/2021
ID RR $1,147.42 $1,126.74 04/01/2021 06/30/2021
MI RR $1,322.00 $1,297.61 04/01/2021 06/30/2021
LA RR $1,168.90 $1,147.43 04/01/2021 06/30/2021
MA RR $1,319.23 $1,298.22 04/01/2021 06/30/2021
KY RR $1,306.34 $1,284.87 04/01/2021 06/30/2021
MD RR $1,147.68 $1,123.37 04/01/2021 06/30/2021
KS RR $1,265.02 $1,243.88 04/01/2021 06/30/2021
MO RR $1,232.36 $1,211.21 04/01/2021 06/30/2021
ME RR $1,238.12 $1,217.11 04/01/2021 06/30/2021
MS RR $1,135.33 $1,113.86 04/01/2021 06/30/2021
IN RR $1,139.66 $1,117.66 04/01/2021 06/30/2021
NJ RR $1,321.25 $1,296.94 04/01/2021 06/30/2021
MN RR $1,306.34 $1,284.49 04/01/2021 06/30/2021
NH RR $1,313.43 $1,292.42 04/01/2021 06/30/2021
NE RR $1,269.04 $1,247.90 04/01/2021 06/30/2021
NC RR $1,306.34 $1,284.87 04/01/2021 06/30/2021
ND RR $1,302.18 $1,281.04 04/01/2021 06/30/2021
MT RR $1,172.07 $1,150.33 04/01/2021 06/30/2021
NV RR $1,304.27 $1,281.57 04/01/2021 06/30/2021
SC RR $1,138.12 $1,116.65 04/01/2021 06/30/2021
PA RR $1,317.51 $1,293.21 04/01/2021 06/30/2021
OK RR $1,316.72 $1,292.18 04/01/2021 06/30/2021
PR RR $2,039.81 04/01/2021 06/30/2021
OR RR $1,284.14 $1,261.44 04/01/2021 06/30/2021
NY RR $1,311.34 $1,289.37 04/01/2021 06/30/2021
NM RR $1,261.48 $1,239.39 04/01/2021 06/30/2021
OH RR $1,321.69 $1,297.32 04/01/2021 06/30/2021
SD RR $1,305.54 $1,284.39 04/01/2021 06/30/2021
UT RR $1,215.60 $1,194.91 04/01/2021 06/30/2021
RI RR $1,310.47 $1,288.07 04/01/2021 06/30/2021
TN RR $1,303.73 $1,282.26 04/01/2021 06/30/2021
VT RR $1,177.30 $1,156.29 04/01/2021 06/30/2021
VI RR $1,312.60 04/01/2021 06/30/2021
VA RR $1,313.20 $1,289.90 04/01/2021 06/30/2021
TX RR $1,306.34 $1,284.26 04/01/2021 06/30/2021
WA RR $1,141.56 $1,118.85 04/01/2021 06/30/2021
WI RR $1,163.65 $1,139.28 04/01/2021 06/30/2021
WY RR $1,305.41 $1,284.71 04/01/2021 06/30/2021
WV RR $1,322.07 $1,298.77 04/01/2021 06/30/2021

Note: A blank cell in the Rural Fee column designates the Rural Fee is the same as the Non-Rural Fee.

Note: This HCPCS code may be subject to a single payment amount (SPA) under the Medicare DMEPOS Competitive Bidding Program. For information on when the SPA applies, specific rates for the SPA, please check the website for the Competitive Bidding Implementation Contractor (CBIC) at https://www.dmecompetitivebid.com.

Note: PDAC provides the CMS quarterly fee schedule amounts directly from the CMS website. If CMS updates the fee schedule within a quarter, DMECS will display the most current fee schedule.