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See a sample rate comparisonHCPCS A7525 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 mask, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Tracheostoma Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A7525 |
National average reimbursement for HCPCS A7525 by major payers:
$2.42
$1.54
$1.97
$3.58
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HCPCS A7525
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$5.28Published rateAtl Colorectal Surgery
$3.25Published rateHospital Authority Of Washington County, Washington County Regional Medical Center
Hospital Authority Of Washington County
$1.37Published rateKevin Schlessel
$1.29Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$0.92Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A7525 vs. Other Tracheostoma Supplies Codes
The HCPCS A7525 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 A7525 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 |
|---|---|---|
| A7524-HCPCS | Low | Tracheostoma stent/stud/button, each |
| A7525-HCPCS | Low | Tracheostomy mask, each |
| A7526-HCPCS | Low | Tracheostomy tube collar/holder, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A7525. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A7525 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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