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Miscellaneous Durable Medical Equipment

Pennsylvania rates for HCPCS E1399

Durable medical equipment, miscellaneous

Rates data updated July 2026.

How much does Miscellaneous Durable Medical Equipment cost?

$46.77

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $46.77 for this service. The price depends on where it is billed: about $46.77 from a physician practice, and about $5,012 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$46.77$43.65 to $182
FacilityA hospital or hospital-owned outpatient department$5,012$85.11 to $57,544

How much rates vary

Facilitymedian $5,012 · 10th to 90th $48 to $77,625Professionalmedian $47 · 10th to 90th $26 to $64,565
$100$1K$10Kfacility $5,012professional $47

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$46.77
Typical High
$776.25
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$64,565.42
Median
$64,565.42
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$60.26
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$21.88
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$46.77
Typical High
$776.25
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$60.26
Typical High
$67.61

Where Pennsylvania sits

The same service costs 20417.4 times more in Arkansas than in Louisiana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 22nd of 51

$46.77

AR $257,040LA $12.59

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.