Rate Benchmarking
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See a sample rate comparisonHCPCS A7026 is classified under Medical And Surgical Supplies, in the Breathing Aids subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Breathing Aids |
| Complexity Level | Low |
| Medicaid Fee Schedule | $32.77 median of the 6 states in the free preview · View Medicaid rates for A7026 |
National average reimbursement for HCPCS A7026 by major payers:

$32.74
BCBS / Anthem

$21.34
UnitedHealthcare

$25.81
Aetna

$47.93
Cigna
Choose a payer to see a sample of rates for HCPCS A7026.
Emory University, Emory University Hospital
Emory University
Evans Memorial Hospital, Inc.
Evans Memorial Hospital Inc
Emanuel County Hospital Authority, Emanuel Medical Center
Stephens County Hospital Authority
Northeast Georgia Medical Center, Inc.
Gainesville Radiology Group
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS A7026 vs. Other Breathing Aids Codes
The table lists codes related to A7026. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A7025-HCPCS | Moderate | High frequency chest wall oscillation system vest, replacement for use with patient owned equipment, each |
| A7026-HCPCS | Low | High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, each |
| A7027-HCPCS | Low | Combination oral/nasal mask, used with continuous positive airway pressure device, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A7026. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A7026 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.
Bring your top codes (like HCPCS A7026) and we'll show you how you compare in 15 minutes or less.