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E2104 — Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge

HCPCS Level II E-code · short descriptor: “Glucose monitor w cartridge”

Code system
HCPCS Level II
Family
E — Durable medical equipment
Medicare coverage status
Special coverage instructions apply
DMEPOS payment category
Inexpensive or routinely purchased
Prior authorization
Not on Medicare required-PA list
Status
Active (April 2026 HCPCS)

Prior authorization

Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

E2104 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable: $54.52 in all listed states.

Former-CBA payment limits: ceiling $54.52 · floor $46.34

StateNon-ruralRural
AK$54.52
AL$54.52
AR$54.52
AZ$54.52
CA$54.52
CO$54.52
CT$54.52
DC$54.52
DE$54.52
FL$54.52
GA$54.52
HI$54.52
IA$54.52
ID$54.52
IL$54.52
IN$54.52
KS$54.52
KY$54.52
LA$54.52
MA$54.52
MD$54.52
ME$54.52
MI$54.52
MN$54.52
MO$54.52
MS$54.52
MT$54.52
NC$54.52
ND$54.52
NE$54.52
NH$54.52
NJ$54.52
NM$54.52
NV$54.52
NY$54.52
OH$54.52
OK$54.52
OR$54.52
PA$54.52
PR$54.52
RI$54.52
SC$54.52
SD$54.52
TN$54.52
TX$54.52
UT$54.52
VA$54.52
VI$54.52
VT$54.52
WA$54.52
WI$54.52
WV$54.52
WY$54.52

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable: $5.47 in all listed states.

Former-CBA payment limits: ceiling $5.47 · floor $4.65

StateNon-ruralRural
AK$5.47
AL$5.47
AR$5.47
AZ$5.47
CA$5.47
CO$5.47
CT$5.47
DC$5.47
DE$5.47
FL$5.47
GA$5.47
HI$5.47
IA$5.47
ID$5.47
IL$5.47
IN$5.47
KS$5.47
KY$5.47
LA$5.47
MA$5.47
MD$5.47
ME$5.47
MI$5.47
MN$5.47
MO$5.47
MS$5.47
MT$5.47
NC$5.47
ND$5.47
NE$5.47
NH$5.47
NJ$5.47
NM$5.47
NV$5.47
NY$5.47
OH$5.47
OK$5.47
OR$5.47
PA$5.47
PR$5.47
RI$5.47
SC$5.47
SD$5.47
TN$5.47
TX$5.47
UT$5.47
VA$5.47
VI$5.47
VT$5.47
WA$5.47
WI$5.47
WV$5.47
WY$5.47

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable: $40.92 in all listed states.

Former-CBA payment limits: ceiling $40.92 · floor $34.78

StateNon-ruralRural
AK$40.92
AL$40.92
AR$40.92
AZ$40.92
CA$40.92
CO$40.92
CT$40.92
DC$40.92
DE$40.92
FL$40.92
GA$40.92
HI$40.92
IA$40.92
ID$40.92
IL$40.92
IN$40.92
KS$40.92
KY$40.92
LA$40.92
MA$40.92
MD$40.92
ME$40.92
MI$40.92
MN$40.92
MO$40.92
MS$40.92
MT$40.92
NC$40.92
ND$40.92
NE$40.92
NH$40.92
NJ$40.92
NM$40.92
NV$40.92
NY$40.92
OH$40.92
OK$40.92
OR$40.92
PA$40.92
PR$40.92
RI$40.92
SC$40.92
SD$40.92
TN$40.92
TX$40.92
UT$40.92
VA$40.92
VI$40.92
VT$40.92
WA$40.92
WI$40.92
WV$40.92
WY$40.92
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026. Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%. A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area adjustments and non-continental rates can differ — verify with your DME MAC.

Common denial codes to watch

Related E-codes

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