HCPCS E1701
Replacement cushions for jaw motion rehabilitation system, pkg. of 6
Current code11 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $13.01 – $88.27 | — | — |
| Deaconess Medical Center | $18.08 – $22.54 | — | — |
| Mary Bridge Children's Hospital | $13.01 – $31.81 | — | — |
| MultiCare Auburn Medical Center | $12.65 – $31.81 | — | — |
| MultiCare Covington Medical Center | $12.65 – $31.81 | — | — |
| MultiCare Good Samaritan Hospital | $17.18 – $31.81 | — | — |
| MultiCare Valley Hospital | $14.46 – $22.54 | — | — |
| Overlake Hospital Medical Center & Clinics | $29.62 – $37.36 | — | — |
| Tacoma General Allenmore Hospital | $12.65 – $31.81 | — | — |
| Virginia Mason Medical Center | $46.29 – $52.54 | — | — |
| Yakima Valley Memorial | $13.01 – $22.41 | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Equipment fee, Washington
- $15.11 (fee)