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See a sample rate comparisonHCPCS A7005 Fee Schedule
HCPCS A7005 is classified under Medical And Surgical Supplies, in the Breathing Aids subgroup.
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Breathing Aids |
| Complexity Level | Low |
| Medicaid Fee Schedule | $19.445 median of the 6 states in the free preview · View Medicaid rates for A7005 |
National average reimbursement for HCPCS A7005 by major payers:
$18.55
BCBS / Anthem
$16.03
UnitedHealthcare
$14.90
Aetna
$17.85
Cigna
Compare published rates across providers.
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HCPCS A7005
5 of 25 sample ratesHigher to lower in this preview
Aztec Urgent Care, LLC
Aztec Urgent Care LLC
$27.51Published rateHospital Authority Of Mitchell County, Mitchell County Hospital
Hospital Authority Of Mitchell County
$17.04Published rateApril Leuzinger
Aztec Urgent Care LLC
$16.88Published rateLeigh Taylor
$9.93Published rateKristina Jimenez
Miguel A Arenas Md PC
$6.38Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A7005 vs. Other Breathing Aids Codes
The table lists codes related to A7005. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A7004-HCPCS | Low | Small volume nonfiltered pneumatic nebulizer, disposable |
| A7005-HCPCS | Low | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
| A7006-HCPCS | Low | Administration set, with small volume filtered pneumatic nebulizer |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A7005. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A7005 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 A7005) and we'll show you how you compare in 15 minutes or less.