Rate Benchmarking
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See a sample rate comparisonHCPCS A7046 is classified under Medical And Surgical Supplies, in the Breathing Aids subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Breathing Aids |
| Complexity Level | Low |
| Medicaid Fee Schedule | $17.02 median of the 6 states in the free preview · View Medicaid rates for A7046 |
National average reimbursement for HCPCS A7046 by major payers:

$14.04
BCBS / Anthem

$11.51
UnitedHealthcare

$12.09
Aetna

$19.79
Cigna
Choose a payer to see a sample of rates for HCPCS A7046.
Diana Metropulos
Vanderbilt University Medical Center
Heidi Chen
Vanderbilt University Medical Center
Amir Jahangir
Vanderbilt University Medical Center
Lori Jordan
Vanderbilt University Medical Center
Simi Marwaha
Vanderbilt University Medical Center
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS A7046 vs. Other Breathing Aids Codes
The table lists codes related to A7046. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| A7047-HCPCS | Low | Oral interface used with respiratory suction pump, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A7046. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A7046 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.
Bring your top codes (like HCPCS A7046) and we'll show you how you compare in 15 minutes or less.