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See a sample rate comparisonHCPCS A7006 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 filtered pneumatic nebulizer
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Breathing Aids |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A7006 |
National average reimbursement for HCPCS A7006 by major payers:
$8.05
$6.09
$7.15
$9.77
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HCPCS A7006
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$17.34Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$7.72Published rateElbert Memorial Hospital
$6.19Published rateSt. Francis Radiologists, LLC
$4.63Published rateMiguel A. Arenas, M.D., PC
Miguel A Arenas Md PC
$3.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A7006 vs. Other Breathing Aids Codes
The HCPCS A7006 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 A7006 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 |
|---|---|---|
| A7005-HCPCS | Low | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
| A7006-HCPCS | Low | Administration set, with small volume filtered pneumatic nebulizer |
| A7007-HCPCS | Low | Large volume nebulizer, disposable, unfilled, used with aerosol compressor |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A7006. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A7006 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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