# HCPCS A7030: Cpap full face mask

Medicare HCPCS A7030 pays $117.25 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural, NU · purchase, new). State amounts run from $109.52 in Washington to $200.55 in Puerto Rico, a 83% spread.

Web page: https://www.med-reveal.com/rates/A7030-hcpcs-fee-schedule
Section: DME, Prosthetics, Orthotics and Supplies
Billed by: Sleep Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $117.25 |
| National facility | $117.25 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Puerto Rico | $200.55 | $200.55 |
| Alaska | $177.39 | $177.39 |
| Hawaii | $177.39 | $177.39 |
| Virgin Islands | $177.39 | $177.39 |
| Connecticut | $118.14 | $118.14 |
| Maine | $118.14 | $118.14 |
| Massachusetts | $118.14 | $118.14 |
| New Hampshire | $118.14 | $118.14 |
| Rhode Island | $118.14 | $118.14 |
| Vermont | $118.14 | $118.14 |
| Colorado | $112.97 | $112.97 |
| Idaho | $112.97 | $112.97 |
| Montana | $112.97 | $112.97 |
| Utah | $112.97 | $112.97 |
| Wyoming | $112.97 | $112.97 |
| Delaware | $111.88 | $111.88 |
| District of Columbia | $111.88 | $111.88 |
| Maryland | $111.88 | $111.88 |
| New Jersey | $111.88 | $111.88 |
| New York | $111.88 | $111.88 |
| Pennsylvania | $111.88 | $111.88 |
| Iowa | $111.31 | $111.31 |
| Kansas | $111.31 | $111.31 |
| Minnesota | $111.31 | $111.31 |
| Missouri | $111.31 | $111.31 |
| Nebraska | $111.31 | $111.31 |
| North Dakota | $111.31 | $111.31 |
| South Dakota | $111.31 | $111.31 |
| Illinois | $110.81 | $110.81 |
| Indiana | $110.81 | $110.81 |
| Michigan | $110.81 | $110.81 |
| Ohio | $110.81 | $110.81 |
| Wisconsin | $110.81 | $110.81 |
| Alabama | $110.55 | $110.55 |
| Arkansas | $110.55 | $110.55 |
| Florida | $110.55 | $110.55 |
| Georgia | $110.55 | $110.55 |
| Kentucky | $110.55 | $110.55 |
| Louisiana | $110.55 | $110.55 |
| Mississippi | $110.55 | $110.55 |
| North Carolina | $110.55 | $110.55 |
| South Carolina | $110.55 | $110.55 |
| Tennessee | $110.55 | $110.55 |
| Virginia | $110.55 | $110.55 |
| West Virginia | $110.55 | $110.55 |
| Arizona | $109.65 | $109.65 |
| New Mexico | $109.65 | $109.65 |
| Oklahoma | $109.65 | $109.65 |
| Texas | $109.65 | $109.65 |
| California | $109.52 | $109.52 |
| Nevada | $109.52 | $109.52 |
| Oregon | $109.52 | $109.52 |
| Washington | $109.52 | $109.52 |

## Related codes

- A7027: Combination oral/nasal mask — https://www.med-reveal.com/rates/A7027-hcpcs-fee-schedule
- 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
- 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 A7030 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