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See a sample rate comparisonHCPCS A7003 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.
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 | View Medicaid rates for A7003 |
National average reimbursement for HCPCS A7003 by major payers:
$3.63
$1.77
$1.63
$2.50
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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 HCPCS A7003 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 A7003 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 |
|---|---|---|
| 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.
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