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See a sample rate comparisonHCPCS A7502 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.
Replacement diaphragm/faceplate for tracheostoma valve, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Tracheostoma Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A7502 |
National average reimbursement for HCPCS A7502 by major payers:
$58.94
$37.13
$47.61
$82.44
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HCPCS A7502
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$127.60Published rateUnion County Hospital Authority, Union General Hospital
Union County Hospital Authority
$58.00Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$44.54Published rateProgressive Emergency Physicians PLLC
$34.45Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$22.28Published rate
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See a sample payer proposalHCPCS A7502 vs. Other Tracheostoma Supplies Codes
The HCPCS A7502 code is part of the Medical And Surgical Supplies services used for Tracheostoma Supplies. 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 A7502 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 |
|---|---|---|
| A7501-HCPCS | Low | Tracheostoma valve, including diaphragm, each |
| A7502-HCPCS | Low | Replacement diaphragm/faceplate for tracheostoma valve, each |
| A7503-HCPCS | Low | Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A7502. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A7502 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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