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See a sample rate comparisonHCPCS A7045 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.
Exhalation port with or without swivel used with accessories for positive airway devices, replacement only
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Breathing Aids |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A7045 |
National average reimbursement for HCPCS A7045 by major payers:
$13.05
$11.11
$12.09
$17.87
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HCPCS A7045
5 of 25 sample ratesHigher to lower in this preview
The Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$27.00Published rateStephens County Anesthesia Services,LLC
Stephens County Anesthesia Servicesllc
$15.85Published ratePalmyra Park Hospital, Inc., Palmyra Medical Centers
$9.48Published rateNgmc Barrow LLC, Ngmc Barrow
Gainesville Radiology Group
$5.98Published rateEffingham Hospital, Inc., Effingham Health System
Effingham Hospital Inc
$0.77Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A7045 vs. Other Breathing Aids Codes
The HCPCS A7045 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 A7045 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 |
|---|---|---|
| A7044-HCPCS | Low | Oral interface used with positive airway pressure device, each |
| A7045-HCPCS | Low | Exhalation port with or without swivel used with accessories for positive airway devices, replacement only |
| A7046-HCPCS | Low | Water chamber for humidifier, used with positive airway pressure device, replacement, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A7045. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A7045 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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