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See a sample rate comparisonHCPCS A7012 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.
Water collection device, used with large volume nebulizer
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Breathing Aids |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A7012 |
National average reimbursement for HCPCS A7012 by major payers:
$3.10
$2.38
$2.53
$4.04
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HCPCS A7012
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$6.97Published rateStephens County Anesthesia Services,LLC
Stephens County Anesthesia Servicesllc
$3.54Published rateColquitt Regional Medical Center
$2.44Published rateEmory Healthcare
Cardiac Arrhythmia Institute
$1.77Published rateMiguel A. Arenas, M.D., PC
Miguel A Arenas Md PC
$1.19Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A7012 vs. Other Breathing Aids Codes
The HCPCS A7012 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 A7012 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 |
|---|---|---|
| A7010-HCPCS | Low | Corrugated tubing, disposable, used with large volume nebulizer, 100 feet |
| A7012-HCPCS | Low | Water collection device, used with large volume nebulizer |
| A7013-HCPCS | Low | Filter, disposable, used with aerosol compressor or ultrasonic generator |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A7012. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A7012 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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