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See a sample rate comparisonHCPCS A7521 Fee Schedule
HCPCS A7521 is classified under Medical And Surgical Supplies, in the Tracheostoma Supplies subgroup.
Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (PVC), silicone or equal,each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Tracheostoma Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $65.73 median of the 7 states in the free preview · View Medicaid rates for A7521 |
National average reimbursement for HCPCS A7521 by major payers:
$54.83
BCBS / Anthem
$35.00
UnitedHealthcare
$46.12
Aetna
$77.71
Cigna
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HCPCS A7521
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$120.23Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$65.73Published rateDodge County Hospital Authority, Dodge County Hospital
Dodge County Hospital Authority
$32.79Published rateHospital Authority Of Washington County, Washington County Regional Medical Center
$30.86Published rateWildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
$21.86Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A7521 vs. Other Tracheostoma Supplies Codes
The table lists codes related to A7521. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| A7522-HCPCS | Low | Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A7521. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A7521 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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