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See a sample rate comparisonHCPCS A7004 Fee Schedule
HCPCS A7004 is classified under Medical And Surgical Supplies, in the Breathing Aids subgroup.
Small volume nonfiltered pneumatic nebulizer, disposable
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Breathing Aids |
| Complexity Level | Low |
| Medicaid Fee Schedule | $1.61 median of the 6 states in the free preview · View Medicaid rates for A7004 |
National average reimbursement for HCPCS A7004 by major payers:
$1.35
BCBS / Anthem
$1.10
UnitedHealthcare
$1.21
Aetna
$2.00
Cigna
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HCPCS A7004
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$3.04Published rateThe Hospital Authority Of Monroe County, Georgia, Monroe County Hospital
The Hospital Authority Of Monroe County Georgia
$1.45Published rateBrooks County Hospital
$0.99Published rateEmory Healthcare
$0.81Published rateMiguel A. Arenas, M.D., PC
Miguel A Arenas Md PC
$0.54Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A7004 vs. Other Breathing Aids Codes
The table lists codes related to A7004. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A7003-HCPCS | Low | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
| A7004-HCPCS | Low | Small volume nonfiltered pneumatic nebulizer, disposable |
| A7005-HCPCS | Low | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A7004. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A7004 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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Bring your top codes (like HCPCS A7004) and we'll show you how you compare in 15 minutes or less.