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See a sample rate comparisonHCPCS A7001 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, non-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 A7001 |
National average reimbursement for HCPCS A7001 by major payers:
$36.08
$23.56
$26.81
$57.31
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HCPCS A7001
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$58.00Published rateAugusta Vamc
$26.45Published rateEmory Healthcare
$19.60Published rateStephens County Hospital Authority
$13.98Published rateGood Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital
Good Samaritan Hospital Inc
$1.29Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A7001 vs. Other Breathing Aids Codes
The HCPCS A7001 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 A7001 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 |
|---|---|---|
| A7000-HCPCS | Low | Canister, disposable, used with suction pump, each |
| A7001-HCPCS | Low | Canister, non-disposable, used with suction pump, each |
| A7002-HCPCS | Low | Tubing, 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 A7001. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A7001 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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