Rate Benchmarking
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See a sample rate comparisonHCPCS A7504 is classified under Medical And Surgical Supplies, in the Tracheostoma Supplies subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Tracheostoma Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $0.84 median of the 7 states in the free preview · View Medicaid rates for A7504 |
National average reimbursement for HCPCS A7504 by major payers:

$0.80
BCBS / Anthem

$0.51
UnitedHealthcare

$0.67
Aetna

$1.19
Cigna
Choose a payer to see a sample of rates for HCPCS A7504.
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
Chu Chen
The Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
Clinch County Hospital Authority
Borbas Surgical Supply, Inc
Borbas Surgical Supply Inc
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 A7504 vs. Other Tracheostoma Supplies Codes
The table lists codes related to A7504. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A7503-HCPCS | Low | Filter holder or filter cap, reusable, for use in a tracheostoma heat and moisture exchange system, each |
| A7504-HCPCS | Low | Filter for use in a tracheostoma heat and moisture exchange system, each |
| A7505-HCPCS | Low | Housing, reusable without adhesive, for use in a heat and moisture exchange system and/or with a tracheostoma valve, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A7504. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A7504 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 A7504) and we'll show you how you compare in 15 minutes or less.