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See a sample rate comparisonHCPCS A7527 Fee Schedule
HCPCS A7527 is classified under Medical And Surgical Supplies, in the Tracheostoma Supplies subgroup.
Tracheostomy/laryngectomy tube plug/stop, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Tracheostoma Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $4.76 median of the 7 states in the free preview · View Medicaid rates for A7527 |
National average reimbursement for HCPCS A7527 by major payers:
$4.25
BCBS / Anthem
$2.67
UnitedHealthcare
$3.51
Aetna
$4.19
Cigna
Compare published rates across providers.
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HCPCS A7527
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$8.74Published rateChu Chen
$4.88Published rateHospital Authority Of Valdosta And Lowndes County Georgia, South Georgia Medical Center
Hospital Authority Of Valdosta And Lowndes County Georgia
$2.50Published rateEmanuel County Hospital Authority, Emanuel Medical Center
$2.32Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$1.60Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A7527 vs. Other Tracheostoma Supplies Codes
The table lists codes related to A7527. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A7526-HCPCS | Low | Tracheostomy tube collar/holder, each |
| A7527-HCPCS | Low | Tracheostomy/laryngectomy tube plug/stop, each |
| A8000-HCPCS | Low | Helmet, protective, soft, prefabricated, includes all components and accessories |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A7527. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A7527 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.
FREE SAMPLE MARKET COMPARISON
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