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See a sample rate comparisonHCPCS A7509 Fee Schedule
HCPCS A7509 is classified under Medical And Surgical Supplies, in the Tracheostoma Supplies subgroup.
Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Tracheostoma Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $1.74 median of the 7 states in the free preview · View Medicaid rates for A7509 |
National average reimbursement for HCPCS A7509 by major payers:
$1.65
BCBS / Anthem
$1.06
UnitedHealthcare
$1.41
Aetna
$2.41
Cigna
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HCPCS A7509
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$3.61Published rateThe Hospital Authority Of Monroe County, Georgia, Monroe County Hospital
The Hospital Authority Of Monroe County Georgia
$1.33Published rateBacon County Health Services, Inc, Bacon County Rural Health Clinic
Bacon County Health Services Inc
$0.98Published rateHospital Authority Of Jenkins County
Hospital Authority Of Jenkins County Dba Jenkins County Medical Center
$0.92Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$0.66Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A7509 vs. Other Tracheostoma Supplies Codes
The table lists codes related to A7509. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A7508-HCPCS | Low | Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each |
| A7509-HCPCS | Low | Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each |
| A7520-HCPCS | Low | Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (PVC), silicone or equal, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A7509. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A7509 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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