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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Breathing Aids |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A7017 |
National average reimbursement for HCPCS A7017 by major payers:

$99.64

$90.77

$84.63

$133.47
Choose a payer to see a sample of rates for HCPCS A7017.
The Medical Center Inc
Urology Specialists Of The Carolinas, PLLC
Florida Gulf Coast Ear, Nose And Throat, LLC
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalHCPCS A7017 vs. Other Breathing Aids Codes
The HCPCS A7017 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 A7017 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 |
|---|---|---|
| A7016-HCPCS | Low | Dome and mouthpiece, used with small volume ultrasonic nebulizer |
| A7017-HCPCS | Low | Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen |
| A7018-HCPCS | Low | Water, distilled, used with large volume nebulizer, 1000 ml |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A7017. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A7017 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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