Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS A7035 Fee Schedule
HCPCS A7035 is classified under Medical And Surgical Supplies, in the Breathing Aids subgroup.
Headgear used with positive airway pressure device
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Breathing Aids |
| Complexity Level | Low |
| Medicaid Fee Schedule | $26.295 median of the 6 states in the free preview · View Medicaid rates for A7035 |
National average reimbursement for HCPCS A7035 by major payers:
$23.76
BCBS / Anthem
$20.26
UnitedHealthcare
$20.74
Aetna
$27.02
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A7035.
HCPCS A7035
5 of 25 sample ratesHigher to lower in this preview
Vanderbilt University Medical Center
$37.52Published rateNicholas Ballinger
Vanderbilt University Medical Center
$13.81Published rateCary Fu
Vanderbilt University Medical Center
$13.81Published rateMaria Barbagallo
Vanderbilt University Medical Center
$13.81Published rateSarah Bloom
Vanderbilt University Medical Center
$13.81Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS A7035 vs. Other Breathing Aids Codes
The table lists codes related to A7035. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A7034-HCPCS | Low | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap |
| A7035-HCPCS | Low | Headgear used with positive airway pressure device |
| A7036-HCPCS | Low | Chinstrap used with positive airway pressure device |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A7035. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A7035 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS A7035) and we'll show you how you compare in 15 minutes or less.