Rate Benchmarking
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See a sample rate comparisonHCPCS A7520 Fee Schedule
HCPCS A7520 is classified under Medical And Surgical Supplies, in the Tracheostoma Supplies subgroup.
Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (PVC), silicone or equal, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Tracheostoma Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $59.79 median of the 7 states in the free preview · View Medicaid rates for A7520 |
National average reimbursement for HCPCS A7520 by major payers:
$55.77
BCBS / Anthem
$35.32
UnitedHealthcare
$46.24
Aetna
$78.47
Cigna
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HCPCS A7520
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$121.35Published rateChu Chen
$115.84Published rateCarson Medical Group Professional Corporation
Carson Medical Group
$40.36Published rateTaylor Regional Hospital
$30.86Published rateGood Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital
Good Samaritan Hospital Inc
$22.05Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A7520 vs. Other Tracheostoma Supplies Codes
The table lists codes related to A7520. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| A7521-HCPCS | Low | Tracheostomy/laryngectomy tube, 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 A7520. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A7520 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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