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HCPCS A7009 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.

Reservoir bottle, non-disposable, used with large volume ultrasonic nebulizer
Key FactDetail
Service Type

Medical And Surgical Supplies

Breathing Aids

Complexity LevelLow
Medicaid Fee ScheduleView Medicaid rates for A7009

National average reimbursement for HCPCS A7009 by major payers:

bcbs

$49.13

uhc

$30.50

aetna

$40.38

cigna

$69.31

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS A7009.

HCPCS A7009
5 of 25 sample ratesHigher to lower in this preview
  1. Emory University Hospital

    Emory University

    GAGeneral Acute Care HospitalNPI 1396923710Tax ID 58-2030692

    $95.77Published rate
  2. Christopher Raio

    St Francis Hospital

    NYEmergency Medicine PhysicianNPI 1255478004Tax ID 11-2050523

    $33.91Published rate
  3. Hospital Authority Of Mitchell County, Mitchell County Hospital

    Hospital Authority Of Mitchell County

    GACritical Access HospitalNPI 1700830247Tax ID 58-6001307

    $22.30Published rate
  4. John D. Archbold Memorial Hospital, Inc.

    John D Archbold Memorial Hospital Inc

    GAGeneral Acute Care HospitalNPI 1194779702Tax ID 58-0566121

    $2.96Published rate
  5. Hospital Authority Of Washington County, Washington County Regional Medical Center

    Hospital Authority Of Washington County

    GARural Acute Care HospitalNPI 1396770004Tax ID 58-6012329

    $2.36Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS A7009 vs. Other Breathing Aids Codes

The HCPCS A7009 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 A7009 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.

CodeComplexityDescription
A7008-HCPCSLowLarge volume nebulizer, disposable, prefilled, used with aerosol compressor
A7009-HCPCSLowReservoir bottle, non-disposable, used with large volume ultrasonic nebulizer
A7010-HCPCSLowCorrugated tubing, disposable, used with large volume nebulizer, 100 feet

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A7009. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the A7009 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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