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See a sample rate comparisonHCPCS A7049 Fee Schedule
HCPCS A7049 is classified under Medical And Surgical Supplies, in the Breathing Aids subgroup.
Expiratory positive airway pressure intranasal resistance valve
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Breathing Aids |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A7049 |
National average reimbursement for HCPCS A7049 by major payers:
$54.07
BCBS / Anthem
$N/A
UnitedHealthcare
$49.42
Aetna
$N/A
Cigna
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HCPCS A7049
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See a sample payer proposalHCPCS A7049 vs. Other Breathing Aids Codes
The table lists codes related to A7049. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A7048-HCPCS | Low | Vacuum drainage collection unit and tubing kit, including all supplies needed for collection unit change, for use with implanted catheter, each |
| A7049-HCPCS | Low | Expiratory positive airway pressure intranasal resistance valve |
| A7501-HCPCS | Low | Tracheostoma valve, including diaphragm, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A7049. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A7049 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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