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See a sample rate comparisonHCPCS A7038 Fee Schedule
HCPCS A7038 is classified under Medical And Surgical Supplies, in the Breathing Aids subgroup.
Filter, disposable, used with positive airway pressure device
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Breathing Aids |
| Complexity Level | Low |
| Medicaid Fee Schedule | $3.105 median of the 6 states in the free preview · View Medicaid rates for A7038 |
National average reimbursement for HCPCS A7038 by major payers:
$3.00
BCBS / Anthem
$2.58
UnitedHealthcare
$2.46
Aetna
$2.91
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A7038.
HCPCS A7038
5 of 25 sample ratesHigher to lower in this preview
Molly Shine
Vanderbilt University Medical Center
$1.73Published rateLila Humbert
Vanderbilt University Medical Center
$1.73Published rateAlexandra Mahdasian-Miller
Vanderbilt University Medical Center
$1.73Published rateRichard Fleming
Vanderbilt University Medical Center
$1.73Published rateSuzanne Sharpton
Vanderbilt University Medical Center
$1.73Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A7038 vs. Other Breathing Aids Codes
The table lists codes related to A7038. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A7037-HCPCS | Low | Tubing used with positive airway pressure device |
| A7038-HCPCS | Low | Filter, disposable, used with positive airway pressure device |
| A7039-HCPCS | Low | Filter, non disposable, 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 A7038. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A7038 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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