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[Equipment] E0470 Medicare allowable cost?
E0470 Medicare allowable cost?
Can anyone tell me what the Medicare max reimbursement for a bilevel machine (E0470) is these days? Googled it and couldn't find it. I'm mostly just curious.
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RE: E0470 Medicare allowable cost?
I don’t know the “most” but IF you are prescribed a bipap they will pay for it. If not you can buy a “slightly used” machine from Supplier #2 for 799. I purchased from them and so did my son. Mine had LESS than a month used and my son’s had a total of 18 hours. They can NOT change the hours used.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
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RE: E0470 Medicare allowable cost?
Insurance will cover my machine and supplies at 100%, which is why I've been semi-patiently waiting six weeks to get one. I'm just curious what the sticker price is vs. what the DME is actually getting paid.
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