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See a sample rate comparisonHCPCS A7521 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.
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 | View Medicaid rates for A7521 |
National average reimbursement for HCPCS A7521 by major payers:
$54.83
$35.00
$46.12
$77.71
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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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See a sample payer proposalHCPCS A7521 vs. Other Tracheostoma Supplies Codes
The HCPCS A7521 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 A7521 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 |
|---|---|---|
| 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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