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See a sample rate comparisonHCPCS A7000 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Canister, disposable, used with suction pump, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Breathing Aids |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A7000 |
National average reimbursement for HCPCS A7000 by major payers:
$8.53
$6.13
$7.93
$12.27
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HCPCS A7000
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$18.02Published ratePhoenix Vamc
$7.63Published rateJenkins County Hospital LLC, Optim Medical Center - Jenkins
$6.15Published rateKamran Rajaee
$5.17Published rateKristina Jimenez
Miguel A Arenas Md PC
$3.18Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A7000 vs. Other Breathing Aids Codes
The HCPCS A7000 code is part of the Medical And Surgical Supplies services used for Breathing Aids. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS A7000 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| A6591-HCPCS | Low | External urinary catheter; non-disposable, for use with suction pump, per month |
| A7000-HCPCS | Low | Canister, disposable, used with suction pump, each |
| A7001-HCPCS | Low | Canister, non-disposable, used with suction pump, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A7000. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A7000 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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