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See a sample rate comparisonHCPCS A7003 Fee Schedule
HCPCS A7003 is classified under Medical And Surgical Supplies, in the Breathing Aids subgroup.
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Breathing Aids |
| Complexity Level | Low |
| Medicaid Fee Schedule | $2.215 median of the 6 states in the free preview · View Medicaid rates for A7003 |
National average reimbursement for HCPCS A7003 by major payers:
$3.63
BCBS / Anthem
$1.77
UnitedHealthcare
$1.63
Aetna
$2.50
Cigna
Compare published rates across providers.
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HCPCS A7003
5 of 25 sample ratesHigher to lower in this preview
Zothanmawii Khiangte
Samaritan Hospital
$3.88Published rateKenneth Walters
Anmed Health
$1.76Published rateThomas Whitton
Centracare Clinic
$1.15Published rateRoper Hospital, Inc., Center For Spinal Cord Injury
Roper Hospital Inc
$1.09Published rateRichard Mcneilly
Prisma Health-University Medical Group
$0.75Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A7003 vs. Other Breathing Aids Codes
The table lists codes related to A7003. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A7002-HCPCS | Low | Tubing, used with suction pump, each |
| A7003-HCPCS | Low | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
| A7004-HCPCS | Low | Small volume nonfiltered pneumatic nebulizer, disposable |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A7003. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A7003 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.
FREE SAMPLE MARKET COMPARISON
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