# HCPCS A7027: Combination oral/nasal mask

Medicare HCPCS A7027 pays $155.13 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural, NU · purchase, new). State amounts run from $142.24 in Pennsylvania to $218.86 in Puerto Rico, a 54% spread.

Web page: https://www.med-reveal.com/rates/A7027-hcpcs-fee-schedule
Section: DME, Prosthetics, Orthotics and Supplies
Billed by: Sleep Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $155.13 |
| National facility | $155.13 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Puerto Rico | $218.86 | $218.86 |
| Hawaii | $215.54 | $215.54 |
| Virgin Islands | $215.54 | $215.54 |
| Alaska | $210.43 | $210.43 |
| Alabama | $153.68 | $153.68 |
| Arkansas | $153.68 | $153.68 |
| Florida | $153.68 | $153.68 |
| Georgia | $153.68 | $153.68 |
| Kentucky | $153.68 | $153.68 |
| Louisiana | $153.68 | $153.68 |
| Mississippi | $153.68 | $153.68 |
| North Carolina | $153.68 | $153.68 |
| South Carolina | $153.68 | $153.68 |
| Tennessee | $153.68 | $153.68 |
| Virginia | $153.68 | $153.68 |
| West Virginia | $153.68 | $153.68 |
| Iowa | $153.49 | $153.49 |
| Kansas | $153.49 | $153.49 |
| Minnesota | $153.49 | $153.49 |
| Missouri | $153.49 | $153.49 |
| Nebraska | $153.49 | $153.49 |
| North Dakota | $153.49 | $153.49 |
| South Dakota | $153.49 | $153.49 |
| Illinois | $153.18 | $153.18 |
| Indiana | $153.18 | $153.18 |
| Michigan | $153.18 | $153.18 |
| Ohio | $153.18 | $153.18 |
| Wisconsin | $153.18 | $153.18 |
| Colorado | $152.68 | $152.68 |
| Idaho | $152.68 | $152.68 |
| Montana | $152.68 | $152.68 |
| Utah | $152.68 | $152.68 |
| Wyoming | $152.68 | $152.68 |
| California | $151.77 | $151.77 |
| Nevada | $151.77 | $151.77 |
| Oregon | $151.77 | $151.77 |
| Washington | $151.77 | $151.77 |
| Arizona | $147.14 | $147.14 |
| New Mexico | $147.14 | $147.14 |
| Oklahoma | $147.14 | $147.14 |
| Texas | $147.14 | $147.14 |
| Connecticut | $144.12 | $144.12 |
| Maine | $144.12 | $144.12 |
| Massachusetts | $144.12 | $144.12 |
| New Hampshire | $144.12 | $144.12 |
| Rhode Island | $144.12 | $144.12 |
| Vermont | $144.12 | $144.12 |
| Delaware | $142.24 | $142.24 |
| District of Columbia | $142.24 | $142.24 |
| Maryland | $142.24 | $142.24 |
| New Jersey | $142.24 | $142.24 |
| New York | $142.24 | $142.24 |
| Pennsylvania | $142.24 | $142.24 |

## Related codes

- A7028: Repl oral cushion combo mask — https://www.med-reveal.com/rates/A7028-hcpcs-fee-schedule
- A7029: Repl nasal pillow comb mask — https://www.med-reveal.com/rates/A7029-hcpcs-fee-schedule
- A7030: Cpap full face mask — https://www.med-reveal.com/rates/A7030-hcpcs-fee-schedule
- A7031: Replacement facemask interfa — https://www.med-reveal.com/rates/A7031-hcpcs-fee-schedule
- A7032: Replacement nasal cushion — https://www.med-reveal.com/rates/A7032-hcpcs-fee-schedule
- A7033: Replacement nasal pillows — https://www.med-reveal.com/rates/A7033-hcpcs-fee-schedule

Commercial negotiated rates for A7027 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules