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[Equipment] E0470 Medicare allowable cost? - Printable Version

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E0470 Medicare allowable cost? - lilymaebelle - 01-09-2021

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.


RE: E0470 Medicare allowable cost? - staceyburke - 01-10-2021

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.


RE: E0470 Medicare allowable cost? - lilymaebelle - 01-10-2021

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.