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See a sample rate comparisonHCPCS A7036 Fee Schedule
HCPCS A7036 is classified under Medical And Surgical Supplies, in the Breathing Aids subgroup.
Chinstrap used with positive airway pressure device
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Breathing Aids |
| Complexity Level | Low |
| Medicaid Fee Schedule | $14.225 median of the 6 states in the free preview · View Medicaid rates for A7036 |
National average reimbursement for HCPCS A7036 by major payers:
$11.72
BCBS / Anthem
$9.71
UnitedHealthcare
$10.80
Aetna
$15.09
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A7036.
HCPCS A7036
5 of 25 sample ratesHigher to lower in this preview
Shiayin Yang
Vanderbilt University Medical Center
$7.17Published rateTracey Goddard
Vanderbilt University Medical Center
$7.17Published rateMilner Staub
Vanderbilt University Medical Center
$7.17Published rateNorma Edwards
Vanderbilt University Medical Center
$7.17Published rateBriana Mcvean
Vanderbilt University Medical Center
$7.17Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A7036 vs. Other Breathing Aids Codes
The table lists codes related to A7036. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A7035-HCPCS | Low | Headgear used with positive airway pressure device |
| A7036-HCPCS | Low | Chinstrap used with positive airway pressure device |
| A7037-HCPCS | Low | Tubing 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 A7036. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A7036 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
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