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See a sample rate comparisonHCPCS A7026 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.
High frequency chest wall oscillation system hose, replacement for use with patient owned equipment, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Breathing Aids |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A7026 |
National average reimbursement for HCPCS A7026 by major payers:
$32.74
$21.34
$25.81
$47.93
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HCPCS A7026
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$45.59Published rateEvans Memorial Hospital, Inc.
Evans Memorial Hospital Inc
$19.20Published rateEmanuel County Hospital Authority, Emanuel Medical Center
$18.69Published rateStephens County Hospital Authority
$12.27Published rateNortheast Georgia Medical Center, Inc.
Gainesville Radiology Group
$1.73Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A7026 vs. Other Breathing Aids Codes
The HCPCS A7026 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 A7026 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 |
|---|---|---|
| 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.
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